Paragon Outpatient Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PARAGON OUTPATIENT THERAPY SERVICES LLC

Practice address

1470 W Calvada Blvd
Suite 100
Pahrump, NV 89048-5869

Phone

(775) 537-2300

Fax

(775) 537-2345

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Michele McKiernan, MHA

Title

Chief Administrator

Phone

(702) 914-2790

Specialties & licenses 3

Addresses

Other names 1

• Paragon Healthcare of Pahrump Doing business as

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1861549149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123494",
            "telephone_number": "702-914-2790",
            "fax_number": "702-914-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 W CALVADA BLVD",
            "address_2": "SUITE 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485869",
            "telephone_number": "775-537-2300",
            "fax_number": "775-537-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON OUTPATIENT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "MCKIERNAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "702-914-2790",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Healthcare of Pahrump",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paragon Healthcare
• Paragon Healthcare of Pahrump, LLC.
• Angela M Parisi
• Adriana Park, MSN, BSN, RN
• Carla Parker
• Laurie Jean Parker, LADC
• Tina Marie Parks

• Physical Therapist in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.