Individual provider Active NPI

Mark Vincent Caballero Mabida, P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1821045303
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27988 Issued in NY
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

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250729004111 NV Practitioner - Physical Therapist in Private Practice 5597768796 Reassigns benefits to 1 organization

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
Las Vegas Physical Therapy and Sports PLLCGroup PAC ID 4082995048, 3 clinicians

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

LicenseStateTypeSpecialty
027988NYMDClinical Social Worker
27988NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Physical Therapy & Sports PLLC Physical Therapist CurrentSince Jul 9, 2025 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.

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.

Verify at the official NPI Registry.