Individual provider Active NPI

Alessandro Harlow Ronconi, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1851030423
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4831 Issued in NV
Practice address
2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632
Phone
(702) 294-7499
Fax
(702) 735-0097
NPI assigned
Jun 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 4831 NV Primary

Addresses

Primary practice location

2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632

Mailing address

2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632
Phone (702) 294-7499

Other practice location 1

2820 W Charleston Blvd Ste 1
Las Vegas, NV 89102-1942
Phone (725) 726-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608003087 NV Practitioner - Physical Therapist in Private Practice 5991183683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians
Smith Therapy PartnersGroup PAC ID 1052731072, 46 clinicians

Practice addresses (Care Compare)

2800 E Desert Inn Rd
Suite 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616

955 W Craig Rd
Suite 103
North Las Vegas, NV 89032-0279
Phone (725) 726-7847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Therapy Partners Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Desert Orthopaedic Center, LTD. CurrentSince Jun 1, 2022 Accepting new patients

Locations

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

2820 W Charleston Blvd
Ste 1
Las Vegas, NV 89102

955 W Craig Rd
Ste 103
North Las Vegas, NV 89032

Organizations & group practices 2

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1851030423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213632",
            "telephone_number": "702-294-7499",
            "fax_number": "702-735-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213632",
            "telephone_number": "702-294-7499",
            "fax_number": "702-735-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 W Charleston Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021942",
            "country_code": "US",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONCONI",
        "first_name": "ALESSANDRO",
        "middle_name": "HARLOW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4831",
            "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 Feb 23, 2024; 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.