Myra June S Vesagas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2073 Issued in NV

Practice address

4275 Burnham Ave.
Suite 255
Las Vegas, NV 89119-8204

Phone

(702) 380-1060

NPI assigned

Jun 6, 2008

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1922267764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26299",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891260299",
            "telephone_number": "702-893-3333",
            "fax_number": "702-893-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE.",
            "address_2": "SUITE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-380-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESAGAS",
        "first_name": "MYRA JUNE",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001702161",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053594937",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vertecz
• Vertex Primary Care Nevada LLC (Vasectomy Pro)
• Helen Marie Vervinck
• Very Good Personal Care Services Company PLLC (Very Good Personal Caregiver Company)
• Michelle Ann Del Rosario Verzonilla
• Vesper Specialty Pharmacy LLC
• Nicholas T Vespia
• Maxwell Omer Vest, M.D.
• Pamela Vest
• Vestibular Institute (Acclaim Balance Center)

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.