Organization Active NPI

Lifetime Body and Health Awareness Haynes Physical Therapy

Doing business as Breakthrough Therapy PLLC

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1821590704
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIFETIME BODY AND HEALTH AWARENESS HAYNES PHYSICAL THERAPY
Doing business as
Breakthrough Therapy PLLC
Practice address
1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone
(725) 286-7997
Fax
(888) 414-7996
NPI assigned
Mar 6, 2018
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Shenita Haynes, DPT,CEEAANPI 1336459833
Title
Ceo/ Owner
Phone
(725) 286-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367

Mailing address

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (725) 286-7997

Other names 2

  • Breakthrough Therapy PLLC Doing business as
  • Lifetime Body and Health Awareness Haynes Physical Therapy PLLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Breakthrough Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5516 Boulder Hwy
Ste 2F
Las Vegas, NV 89122
Phone (702) 834-0021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1821590704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "725-286-7997",
            "fax_number": "888-414-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "725-286-7997",
            "fax_number": "888-414-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME BODY AND HEALTH AWARENESS HAYNES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SHENITA",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "725-286-7887",
        "authorized_official_credential": "DPT,CEEAA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthrough Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifetime Body and Health Awareness Haynes Physical Therapy PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lifetime Body and Health Awareness Haynes Physical Therapy PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.