Individual provider Active NPI

Vanessa Milrad, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1992000699
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4166 Issued in NV
Practice address
2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110
Phone
(702) 240-2952
Fax
(702) 243-0482
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38533 CA
Physical Therapist 225100000X 4166 NV Primary

Addresses

Primary practice location

2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110

Mailing address

2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110
Phone (702) 240-2952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vanessa.milrad.1@15442.direct.athenahealth.com

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1992000699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281110",
            "telephone_number": "702-240-2952",
            "fax_number": "702-243-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281110",
            "telephone_number": "702-240-2952",
            "fax_number": "702-243-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILRAD",
        "first_name": "VANESSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38533",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4166",
            "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 Jan 15, 2020; 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.