Individual provider Active NPI

Gaylan Randle

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1851244495
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6961 Issued in NV
Practice address
4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
Phone
(702) 734-2732
NPI assigned
Feb 16, 2026
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 6961 NV Primary

Addresses

Primary 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 8325469661, 18 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Nevada Luna Care Physical Therapy LLCGroup PAC ID 6901280510, 7 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6961NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 25, 2026 Accepting new patients

Locations

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.