Active NPI
Stacy Y Nguyen, PT, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1841882263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5029
- Practice address
- 9995 Mystic Dance St
Las Vegas, NV 89183-7100 - Phone
- (858) 397-4701
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5029 | NV | Primary |
| Physical Therapist | 225100000X | PT299418 | CA |
Addresses
Primary practice location
9995 Mystic Dance St
Las Vegas, NV 89183-7100
Mailing address
9995 Mystic Dance St
Las Vegas, NV 89183-7100
Phone (858) 397-4701
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 |
|---|---|---|---|
| PT299418 | CA | MD | Physical Therapist |
| 5029 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707523200000",
"number": "1841882263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9995 MYSTIC DANCE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837100",
"telephone_number": "858-397-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9995 MYSTIC DANCE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837100",
"telephone_number": "858-397-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "STACY",
"middle_name": "Y",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2024-02-10",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "5029",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT299418",
"primary": false
}
],
"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 Feb 10, 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.