Active NPI
Mark Vincent Caballero Mabida, P.T.
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1821045303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27988
- Practice address
- 7229 W Sahara Ave Ste 105
Las Vegas, NV 89117-2860 - Phone
- (702) 586-2177
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 27988 | NY | Primary |
Addresses
Primary practice location
7229 W Sahara Ave Ste 105
Las Vegas, NV 89117-2860
Mailing address
6635 April Bend CT
North Las Vegas, NV 89084-2086
Phone (646) 331-8588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7229 W Sahara Ave
Suite 105
Las Vegas, NV 89117-2860
Phone (702) 586-2177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027988 | NY | MD | Clinical Social Worker |
| 27988 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Physical Therapy & Sports PLLC | Physical Therapist | Current | Accepting new patients |
Locations
7229 W Sahara Ave
Ste 105
Las Vegas, NV 89117
Phone (702) 338-8329
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 1427502715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1821045303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6635 APRIL BEND CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890842086",
"telephone_number": "646-331-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7229 W SAHARA AVE STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172860",
"telephone_number": "702-586-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABIDA",
"first_name": "MARK VINCENT",
"middle_name": "CABALLERO",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "27988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.