Miriam Evaristo, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0671 Issued in NV

Practice address

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935

Phone

(702) 655-8535

NPI assigned

Aug 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family and Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1912082140
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1962981977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 TRATTNER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352859",
            "telephone_number": "702-898-1896",
            "fax_number": "702-685-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-655-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7351 Prairie Falcon Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280820",
            "country_code": "US",
            "telephone_number": "702-968-0520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9315 W Sunset Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485012",
            "country_code": "US",
            "telephone_number": "702-932-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVARISTO",
        "first_name": "MIRIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "0671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Evans
• Unique Danee Evans
• William N Evans, MD
• Yvette Evans
• Yvonne Evans
• Nestor C Evasco Jr.
• Olia Evdokimova, PHARMD
• Evelyn D Adelaja, MFT
• Marie Even, A.A
• Evening Star Assisted Living LLC

• Orthopedic Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthopedic Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.