Dexter Ahumada Trabado, MSPT, DPT, GCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4899 Issued in NV

Practice address

9100 W Desert Inn Rd
Las Vegas, NV 89117-6323

Phone

(725) 239-1049

NPI assigned

Dec 6, 2015

Last updated

Jan 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Silver Star Healthcare LLC

  • Contractor
  • North Bergen, NJ
  • NPI 1902259906
  Authorized official Same address or phone

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1942675731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 RAMS COLLIDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891661210",
            "telephone_number": "347-781-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176323",
            "telephone_number": "725-239-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABADO",
        "first_name": "DEXTER",
        "middle_name": "AHUMADA",
        "credential": "MSPT, DPT, GCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4899",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA01351000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Townson
• Beau James Walker Toy, MEDICAL DOCTOR
• Kimberly Toy
• Shelbie Toyama
• Brad Carl Traasdahl, DC
• Joy Sarate Trabado
• Aurelia Trabiesa Rodriguez
• Trac B Wellness
• Trac-B Exchange LLC (Trac-B xchange)
• Fern Tracey, RPH

• 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 Jan 27, 2023; 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.