Individual provider Active NPI

Michel S Rantissi Jr., DPT, MOT, MTC

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1912051632
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0662 Issued in NV
Practice address
2625 W Horizon Ridge Pkwy
#120
Henderson, NV 89052-2896
Phone
(702) 896-0383
Fax
(702) 889-0383
NPI assigned
Jan 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1735 NV
Occupational Therapist 225X00000X 0662 NV Primary

Addresses

Primary practice location

2625 W Horizon Ridge Pkwy
#120
Henderson, NV 89052-2896

Mailing address

2625 W Horizon Ridge Pkwy
#120
Henderson, NV 89052-2896
Phone (702) 896-0383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051005001238 NV Practitioner - Physical Therapist in Private Practice 1355376161 Reassigns benefits to 1 organization
I20051005001276 NV Practitioner - Occupational Therapist in Private Practice 1355376161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2625 W Horizon Ridge Pkwy
Henderson, NV 89052-2896
Phone (702) 896-0383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Manual Therapy Institute I LLC Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients
Advanced Manuel Therapy Institute 1 LLC Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients
Advanced Manuel Therapy Institute 1 LLC Physical Therapist Past Accepting new patients

Locations

2625 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 896-0383

8988 W Cheyenne Ave
#120
Las Vegas, NV 89129
Phone (702) 896-0383

6424 N Losee Rd
Ste 120
North Las Vegas, NV 89086
Phone (702) 896-0383

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912051632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY",
            "address_2": "#120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY",
            "address_2": "#120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANTISSI",
        "first_name": "MICHEL",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "DPT, MOT, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1735",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "0662",
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.