NPIMap

Organization Active NPI

Thi of Nevada at Desert Valley Therapy, LLC

Doing business as Desert Valley Therapy

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1871547083
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THI OF NEVADA AT DESERT VALLEY THERAPY, LLC
Doing business as
Desert Valley Therapy
Practice address
2055 E Sahara Ave
Las Vegas, NV 89104-3829
Phone
(702) 735-1501
NPI assigned
May 20, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Michael Wenclawiak
Title
President
Phone
(702) 655-9456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2055 E Sahara Ave
Las Vegas, NV 89104-3829

Mailing address

2055 E Sahara Ave
Las Vegas, NV 89104-3829
Phone (702) 735-1501

Other names 1

  • Desert Valley Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2055 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 735-1501

2110 E Flamingo Rd
Ste 104
Las Vegas, NV 89119
Phone (702) 248-2228

601 S Rainbow Blvd
Las Vegas, NV 89145
Phone (702) 564-7878

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1871547083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043829",
            "telephone_number": "702-735-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043829",
            "telephone_number": "702-735-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA AT DESERT VALLEY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WENCLAWIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-655-9456"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Valley Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2008; 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.