Individual provider Active NPI

Eric Andres Klein, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1922624709
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4313 Issued in NV
Practice address
2980 S Jones Blvd Ste F
Las Vegas, NV 89146-5657
Phone
(702) 256-2225
NPI assigned
Jun 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4313 NV Primary

Addresses

Primary practice location

2980 S Jones Blvd Ste F
Las Vegas, NV 89146-5657

Mailing address

7929 Tulum CT
Las Vegas, NV 89145-4428
Phone (702) 375-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103000504 NV Practitioner - Physical Therapist in Private Practice 0244640472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2980 S Jones Blvd
Suite C
Las Vegas, NV 89146-5657
Phone (702) 256-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4313NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Lake Physical Therapy LLC CurrentSince Aug 31, 2020 Accepting new patients
Canyon Lake Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

2980 S Jones Blvd
Ste F
Las Vegas, NV 89146
Phone (702) 256-2225

2980 S Jones Blvd
Ste C
Las Vegas, NV 89146
Phone (702) 487-5511

Organizations & group practices 2

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1922624709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 TULUM CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454428",
            "telephone_number": "702-375-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S JONES BLVD STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465657",
            "telephone_number": "702-256-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ERIC",
        "middle_name": "ANDRES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4313",
            "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 Jun 17, 2020; 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.