Individual provider Active NPI

Nikita Yuskov, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1861017527
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4301 Issued in NV
Practice address
3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone
(702) 876-1733
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 4301 NV Primary

Addresses

Primary practice location

3831 W Charleston Blvd
Las Vegas, NV 89102-1859

Mailing address

8600 Starboard Dr # A2066
Las Vegas, NV 89117-3431
Phone (702) 624-2038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725003645 TX Practitioner - Physical Therapist in Private Practice 0941620173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

3450 Bainbridge Dr
Suite 560
Dallas, TX 75237-2816
Phone (972) 572-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients
Vista Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

3450 Bainbridge Dr
Ste 560
Dallas, TX 75237
Phone (800) 929-4776

11661 Preston Rd
Ste 173
Dallas, TX 75230
Phone (214) 265-7200

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

3055 Bardin Rd
Ste 200
Grand Prairie, TX 75052
Phone (972) 522-2200

2401 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 310-3736

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

6750 N MacArthur Blvd
Ste 102
Irving, TX 75039
Phone (945) 212-0030

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1861017527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 STARBOARD DR # A2066",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173431",
            "telephone_number": "702-624-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021859",
            "telephone_number": "702-876-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSKOV",
        "first_name": "NIKITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4301",
            "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 Jun 9, 2020; 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.