Active NPI
Back in Step
- Prosthetic/Orthotic Supplier
- Las Vegas, NV
National Provider Identifier
1912362245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- NV20151659970
- Legal business name
- BACK IN STEP
- Practice address
- 2820 W Charleston Blvd Ste 32
Las Vegas, NV 89102-1934 - Phone
- (702) 850-2898
- Fax
- (702) 850-2836
- NPI assigned
- Dec 31, 2015
- Last updated
- Dec 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthea Clark
- Title
- Owner
- Phone
- (702) 850-2898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NV20151659970 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd Ste 32
Las Vegas, NV 89102-1934
Mailing address
2820 W Charleston Blvd Ste 32
Las Vegas, NV 89102-1934
Phone (702) 850-2898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170123003070 | NV | DME Supplier - Pedorthic Personnel | 6901188176 | Practice locations: Las Vegas, NV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Back in Step | Commodes, Urinals, Bedpans|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2820 W Charleston Blvd
Ste 32
Las Vegas, NV 89102
Phone (702) 850-2898
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1669806808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482451200000",
"number": "1912362245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 32",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-850-2898",
"fax_number": "702-850-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 32",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-850-2898",
"fax_number": "702-850-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK IN STEP",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-31",
"last_updated": "2016-12-23",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CYNTHEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-850-2898"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NV",
"license": "NV20151659970",
"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 Dec 23, 2016; 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.