Active NPI
Payton Mack, DPT
- Physical Therapist
- North Las Vegas, NV
National Provider Identifier
1831930528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6427
- Practice address
- 1550 W Craid Rd
Ste 210
North Las Vegas, NV 89032 - Phone
- (702) 360-9142
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- 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 | 6427 | NV | Primary |
Addresses
Primary practice location
1550 W Craid Rd
Ste 210
North Las Vegas, NV 89032
Mailing address
1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329
Phone (702) 360-9142
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6427 | NV | MD | Dentist |
Interoperability endpoints
- payton.mack.1@15442.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1831930528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W CRAIG RD STE 210",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320329",
"telephone_number": "702-360-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 W CRAID RD",
"address_2": "STE 210",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-360-9142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "PAYTON",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.