Active NPI
Nicholas Hernaez, PT
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3081
- Practice address
- 727 N Nellis Blvd
Las Vegas, NV 89110-5384 - Phone
- (725) 726-7847
- Fax
- (725) 726-7876
- NPI assigned
- Jan 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3081 | NV | Primary |
Addresses
Primary practice location
727 N Nellis Blvd
Las Vegas, NV 89110-5384
Mailing address
10785 W Twain Ave Ste 250
Las Vegas, NV 89135-3026
Phone (725) 726-7847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150416000046 | NV | Practitioner - Physical Therapist in Private Practice | 2567780992 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
727 N Nellis Blvd
Las Vegas, NV 89110-5384
Phone (725) 726-7847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3081 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Therapy Partners | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation, LLC | Current | Accepting new patients | |
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| David Camp Physical Therapy | Physical Therapist | Past | Accepting new patients |
| River Oaks Management Company LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947
10785 W Twain Ave
Ste 250
Las Vegas, NV 89135
4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732
727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900
7121 W Craig Rd
Ste 110
Las Vegas, NV 89129
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1851781850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10785 W TWAIN AVE STE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353026",
"telephone_number": "725-726-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 N NELLIS BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891105384",
"telephone_number": "725-726-7847",
"fax_number": "725-726-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNAEZ",
"first_name": "NICHOLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-28",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3081",
"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 Sep 20, 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.