Greathouse Physical Therapy Sports Science Training, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

NV20161709598 Issued in NV

Legal business name

GREATHOUSE PHYSICAL THERAPY SPORTS SCIENCE TRAINING, LLC

Practice address

1845 Village Center Cir
Las Vegas, NV 89134

Phone

(702) 580-4184

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

James Greathouse, PTNPI 1205167517

Title

Owner

Phone

(702) 580-4184

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Joshua Greathouse, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1205167517
  Medicare reassignment Care Compare group NPD Authorized official
• Chelsea Gioannini, D.P.T.

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1619603701
  Medicare reassignment Care Compare group NPD
• Jace Tessaro, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1477350361
  Medicare reassignment Care Compare group NPD
• Laura Garcia

  • Physical Therapy Assistant
  • Las Vegas, NV
  • NPI 1336096684

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1821515735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 VILLAGE CENTER CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-723-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 VILLAGE CENTER CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-580-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATHOUSE PHYSICAL THERAPY SPORTS SCIENCE TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "GREATHOUSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-580-4184",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "NV20161709598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205167517",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Las Vegas Dialysis LLC (South Las Vegas Dialysis Center)
• Greater Las Vegas Dialysis LLC (Las Vegas Dialysis Center)
• Greater Las Vegas Dialysis LLC (Summerlin Dialysis Center)
• Greater Las Vegas Veterans Resouce Center (Greater LA Veterans Resource Group)
• Greater Vegas Personal Care
• Argentina Greathouse, PT
• James Joshua Greathouse, DPT
• Greatness Through Wellness Services
• Nicole Greb
• Mary Grace Sudario Grecia

• Physical Therapy Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.