NPIMap

Organization Active NPI

Gold Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1861986465
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GOLD PHYSICAL MEDICINE AND REHABILITATION PC
Practice address
840 S Rancho Dr Ste 4-740
Las Vegas, NV 89106-3837
Phone
(702) 242-6911
NPI assigned
Jun 18, 2018
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Stanley Scottorn Poole, DONPI 1053759282
Title
Manager
Phone
(801) 556-5859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

840 S Rancho Dr Ste 4-740
Las Vegas, NV 89106-3837

Mailing address

840 S Rancho Dr Ste 4-740
Las Vegas, NV 89106-3837
Phone (702) 242-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO, AZ, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20180905003895 NV Part B Supplier - Clinic/Group Practice 9133479546 Receives reassigned benefits from 16 practitioners
Practice locations: Las Vegas, NV; Henderson, NV
O20240110003663 CO Part B Supplier - Clinic/Group Practice 9133479546 Receives reassigned benefits from 9 practitioners
Practice locations: Denver, CO; Westminster, CO; Greeley, CO; Golden, CO
O20250905001274 AZ Part B Supplier - Clinic/Group Practice 9133479546 Receives reassigned benefits from 2 practitioners
Practice locations: Surprise, AZ
O20250905001393 CA Part B Supplier - Clinic/Group Practice 9133479546 Receives reassigned benefits from 2 practitioners
Practice locations: Westlake Village, CA; Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

1690 Meade St
Denver, CO 80204
Phone (303) 264-6819

6810 10th St
Ste 1167
Greeley, CO 80634
Phone (970) 584-1599

840 S Rancho Dr
Ste 4740
Las Vegas, NV 89106
Phone (702) 242-6911

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1861986465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-740",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-242-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-740",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-242-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD PHYSICAL MEDICINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "SCOTTORN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-556-5859",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.