Organization Active NPI

Phytness Group, Inc.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1871567339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1575 Issued in NV
Legal business name
PHYTNESS GROUP, INC.
Practice address
9310 S Eastern Ave
Suite 110
Las Vegas, NV 89123-6843
Phone
(702) 880-8882
Fax
(702) 880-8829
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ryan Roberts Jr.
Title
Owner
Phone
(214) 754-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1575 NV Primary

Addresses

Primary practice location

9310 S Eastern Ave
Suite 110
Las Vegas, NV 89123-6843

Mailing address

2001 Bryan St
Suite 2110
Dallas, TX 75201-3005
Phone (214) 754-0501

Other names 1

  • Phytness Group Doing business as

National Provider Directory

National Provider Directory

Locations

9310 S Eastern Ave
Ste 110
Las Vegas, NV 89123
Phone (702) 880-8882

2001 Bryan St
Ste 2110
Dallas, TX 75201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871567339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BRYAN ST",
            "address_2": "SUITE 2110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013005",
            "telephone_number": "214-754-0501",
            "fax_number": "214-754-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 S EASTERN AVE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236843",
            "telephone_number": "702-880-8882",
            "fax_number": "702-880-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYTNESS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-754-0501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phytness Group",
            "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 Aug 22, 2020; 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.