Active NPI
Aaron Lagman Manaloto
- Physical Therapist
- North Las Vegas, NV
National Provider Identifier
1912660093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4457
- Practice address
- 3215 E Cheyenne Ave
North Las Vegas, NV 89030-4215 - Phone
- (702) 649-7800
- NPI assigned
- Oct 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4457 | NV | Primary |
Addresses
Primary practice location
3215 E Cheyenne Ave
North Las Vegas, NV 89030-4215
Mailing address
3215 E Cheyenne Ave
North Las Vegas, NV 89030-4235
Phone (424) 450-5528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4457 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Life Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1912660093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 E CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890304235",
"telephone_number": "424-450-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 E CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890304215",
"telephone_number": "702-649-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALOTO",
"first_name": "AARON",
"middle_name": "LAGMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-15",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.