Phillip Patrick Fitzlaff, B.S HS/M

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3556 N Campbell Rd
Las Vegas, NV 89129-6193

Phone

(702) 488-2796

NPI assigned

May 12, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, High School Graduate

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1811289648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 N CAMPBELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296193",
            "telephone_number": "702-488-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 N CAMPBELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296193",
            "telephone_number": "702-488-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZLAFF",
        "first_name": "PHILLIP",
        "middle_name": "PATRICK",
        "credential": "B.S HS/M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Fitzgerald, PA-C
• Tawni Krystene Fitzgerald
• Taylur Fitzgerald
• Teresa Banda Fitzgerald
• Zayin Fitzgerald, P.T
• Maisie Fitzmaurice, RBT
• Casey Fitzpatrick
• Colleen Fitzpatrick
• Ellen Mary Fitzpatrick, MD
• Eric Fitzpatrick

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.