Active NPI
Gaylan Randle
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6961
- Practice address
- 4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826 - Phone
- (702) 734-2732
- NPI assigned
- Feb 16, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1457087009
-
- Physical Therapist
- Las Vegas, NV
- NPI 1396777892
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Durable Medical Equipment & Medical Supplies
- Henderson, NV
- NPI 1215512231
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arizona Luna Care Physical Therapy LLC
Ati Holdings of Arizona LLC
Nevada Luna Care Physical Therapy LLC
New Century Rehabilitation LLC
Practice addresses (Care Compare)
14050 N 83Rd Ave
Suite 290
Peoria, AZ 85381-5650
Phone (866) 525-3175
5911 W Baseline Rd
Suite 102
Laveen, AZ 85339-2811
Phone (480) 281-6103
5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Phone (866) 525-3175
7060 N Durango Dr
Suite 130
Las Vegas, NV 89149-4605
Phone (702) 826-5749
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260311002976 | NV | Practitioner - Physical Therapist in Private Practice | 3274016837 | Reassigns benefits to 2 organizations |
| I20260610000826 | AZ | Practitioner - Physical Therapist in Private Practice | 3274016837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6961 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6961 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
Mailing address
4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2026.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1851244495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 S EASTERN AVE STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 S EASTERN AVE STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190826",
"telephone_number": "702-734-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "GAYLAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6961",
"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 16, 2026; 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.