Individual provider Active NPI

Taylor Kucera

  • Physical Therapist
  • North Las Vegas, NV
National Provider Identifier
1952770646
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3208 Issued in NV
Practice address
3155 W Craig Rd
Suites 120 & 130
North Las Vegas, NV 89032-0782
Phone
(702) 639-2333
Fax
(702) 639-2334
NPI assigned
Sep 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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 3208 NV Primary

Addresses

Primary practice location

3155 W Craig Rd
Suites 120 & 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 NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002000024 NV Practitioner - Physical Therapist in Private Practice 0446568919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians
Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

3155 W Craig Rd
Suite 140
North Las Vegas, NV 89032-0783
Phone (702) 639-2333

3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone (702) 876-1733

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC CurrentSince Aug 25, 2025 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Current Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients
Educated Athletics LTD. Current Accepting new patients
New Century Rehabilitation, LLC CurrentSince Sep 14, 2015 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

8975 S Pecos Rd
Ste 7A
Henderson, NV 89074
Phone (702) 456-2024

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540

8925 W Russell Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 914-6787

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

8060 S Rainbow Blvd
Ste 120
Las Vegas, NV 89139
Phone (702) 213-0160

2445 Fire Mesa St
Ste 150
Las Vegas, NV 89128
Phone (702) 869-6978

2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668

3155 W Craig Rd
Ste 120
North Las Vegas, NV 89032
Phone (702) 639-2333

3155 W Craig Rd
Ste 140
North Las Vegas, NV 89032
Phone (702) 639-2333

720 Robb Dr
Ste 103
Reno, NV 89523
Phone (775) 787-3733

Organizations & group practices 6

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1952770646",
    "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": "SUITES 120 & 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320782",
            "telephone_number": "702-639-2333",
            "fax_number": "702-639-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3208",
            "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 23, 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.