Active NPI
Doreen Tagavilla Cariaga
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1962045211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4107
- Practice address
- 2012 S Jones Blvd
Las Vegas, NV 89146-3151 - Phone
- (702) 360-1137
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4107 | NV | Primary |
Addresses
Primary practice location
2012 S Jones Blvd
Las Vegas, NV 89146-3151
Mailing address
9712 Red Horse St
Las Vegas, NV 89143-1158
Phone (702) 544-3406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speakeasy Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Therapy West LLC | Physical Therapist | Past | Accepting new patients |
| My Left Foot Children'S Therapy | Past | Accepting new patients | |
| My Left Foot Children'S Therapy, LLC. | Past | Accepting new patients |
Locations
2490 Paseo Verde Pkwy
Ste 155
Henderson, NV 89074
Phone (702) 703-5540
6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1962045211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9712 RED HORSE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891431158",
"telephone_number": "702-544-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463151",
"telephone_number": "702-360-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARIAGA",
"first_name": "DOREEN",
"middle_name": "TAGAVILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4107",
"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 Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.