Active NPI
Karlyle Gajudo, PT,DPT
- Physical Therapist
- Pahrump, NV
National Provider Identifier
1811583438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4412
- Practice address
- 2250 Postal Dr Ste 4
Pahrump, NV 89048-4798 - Phone
- (775) 727-3838
- NPI assigned
- Dec 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4412 | NV | Primary |
Addresses
Primary practice location
2250 Postal Dr Ste 4
Pahrump, NV 89048-4798
Mailing address
10733 Aphrodite St
Las Vegas, NV 89183-4619
Phone (702) 461-1592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1972168540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1811583438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10733 APHRODITE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834619",
"telephone_number": "702-461-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 POSTAL DR STE 4",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890484798",
"telephone_number": "775-727-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAJUDO",
"first_name": "KARLYLE",
"name_prefix": "Dr.",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.