Active NPI
Red Rock Therapy Services
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1982373080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- RED ROCK THERAPY SERVICES
- Practice address
- 2995 S Bronco St
Las Vegas, NV 89146-5209 - Phone
- (520) 309-5052
- NPI assigned
- Sep 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Schyler Fujimoto, MS, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (520) 309-5052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2995 S Bronco St
Las Vegas, NV 89146-5209
Mailing address
304 S Jones Blvd # 6485
Las Vegas, NV 89107-2623
Phone (520) 309-5052
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1114418621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1982373080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S JONES BLVD # 6485",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072623",
"telephone_number": "520-309-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 S BRONCO ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465209",
"telephone_number": "520-309-5052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED ROCK THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "FUJIMOTO",
"authorized_official_first_name": "SCHYLER",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "520-309-5052",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.