Active NPI
Ava Motakef, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1861002024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4374
- Practice address
- 3820 S Jones Blvd
Las Vegas, NV 89103-2228 - Phone
- (702) 818-5000
- Fax
- (702) 818-5001
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014604 | GA | |
| Physical Therapist | 225100000X | 4374 | NV | Primary |
Addresses
Primary practice location
3820 S Jones Blvd
Las Vegas, NV 89103-2228
Mailing address
7950 W Flamingo Rd Unit 2179
Las Vegas, NV 89147-4230
Phone (678) 551-0444
Other practice location 1
401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000
Other practice location 2
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1861002024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 W FLAMINGO RD UNIT 2179",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474230",
"telephone_number": "678-551-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891032228",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001"
}
],
"practiceLocations": [
{
"address_1": "401 N Buffalo Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891450397",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9070 W Cheyenne Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891298935",
"country_code": "US",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTAKEF",
"first_name": "AVA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014604",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4374",
"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 Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.