Active NPI
Mary Charis Kirby Briones Alcantara, PT
- Physical Therapist
- Henderson, NV
National Provider Identifier
1861051898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3988
- Practice address
- 9011 Sierra Palms Way
Henderson, NV 89074-6969 - Phone
- (702) 227-4477
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 3988 | NV | Primary |
Addresses
Primary practice location
9011 Sierra Palms Way
Henderson, NV 89074-6969
Mailing address
1848 Morro Vista Dr
Las Vegas, NV 89135-3600
Phone (702) 339-9354
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3988 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Siran-Loughery Otr/L Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1861051898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 MORRO VISTA DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891353600",
"telephone_number": "702-339-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9011 SIERRA PALMS WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746969",
"telephone_number": "702-227-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCANTARA",
"first_name": "MARY CHARIS KIRBY",
"middle_name": "BRIONES",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NV",
"license": "3988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.