Individual provider Active NPI

Michelle L Nalepa, MPT

  • Physical Therapist
  • North Las Vegas, NV
National Provider Identifier
1952581852
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2985 Issued in NV
Practice address
3155 W Craig Rd
Suite120 & 130
North Las Vegas, NV 89032-0782
Phone
(702) 639-2333
Fax
(702) 639-2334
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6207 OR
Physical Therapist 225100000X PT 21511 FL
Physical Therapist 225100000X 2985 NV Primary

Addresses

Primary practice location

3155 W Craig Rd
Suite120 & 130
North Las Vegas, NV 89032-0782

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000820 OR Practitioner - Physical Therapist in Private Practice 1254400120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Out Loud LLCGroup PAC ID 3375957293, 7 clinicians

Practice addresses (Care Compare)

2316 S 6TH St
Suite a
Klamath Falls, OR 97601-4300
Phone (541) 887-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6207ORMDChiropractor
PT 21511FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Out Loud, LLC Physical Therapist CurrentSince Feb 5, 2021 Accepting new patients

Locations

2316 S 6th St
Ste A
Klamath Falls, OR 97601
Phone (541) 887-2030

2312 S 6th St
#B
Klamath Falls, OR 97601
Phone (505) 717-5960

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1952581852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 W CRAIG RD",
            "address_2": "SUITE120 & 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320782",
            "telephone_number": "702-639-2333",
            "fax_number": "702-639-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALEPA",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6207",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21511",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2985",
            "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 Sep 11, 2015; 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.