First Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007711 Issued in NV

Legal business name

FIRST PHYSICAL THERAPY LLC

Doing business as

First Physical Therapy

Practice address

5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111

Phone

(702) 916-2777

Fax

(702) 916-2778

NPI assigned

Jun 9, 2006

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meagan E GrimaldoNPI 1245190701

Title

Owner

Phone

(702) 916-2777

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• First Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Christiansen

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1174364715
  Medicare reassignment Care Compare group NPD
• Nolan Michael Daniels, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1659979540

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jesse Yurko, DPT

  • Physical Therapist
  • Henderson, NV
  • NPI 1700159225
  Medicare reassignment Care Compare group NPD
• Heather Rae Hutchinson, PT, DPT, CLT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1194240713
  Medicare reassignment NPD
• Nic Sparrow

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1629186945
  Medicare reassignment NPD
• Meagan E Grimaldo, LMT

  • Massage Therapist
  • Las Vegas, NV
  • NPI 1245190701
  NPD Authorized official
• Alexandria Beaudoin, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1093587115
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1851332720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891179186",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Coronado Center Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523992",
            "country_code": "US",
            "telephone_number": "702-232-1135",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-10-19",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "GRIMALDO",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-916-2777"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "007711",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500008",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.