Active NPI
Angela Aureen Bestwick, PHYSICAL THERAPIST
- Physical Therapist
- Henderson, NV
National Provider Identifier
1992019418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6310
- Practice address
- 2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016 - Phone
- (702) 897-7331
- Fax
- (702) 897-6801
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1457087009
NV, Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Outbound Therapy Services LLCSmith Therapy Partners
Practice addresses (Care Compare)
1562 Harwood Ave
Henderson, NV 89012-2417
Phone (347) 372-9222
727 N Nellis Blvd
Las Vegas, NV 89110-5384
Phone (725) 726-7847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100920001099 | NV | Practitioner - Physical Therapist in Private Practice | 6901921501 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2464 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2464 | NV | |
| Physical Therapist | 225100000X | 6310 | NV | Primary |
Addresses
Primary practice location
2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016
Mailing address
2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016
Phone (702) 897-7331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992019418 | Medicaid | NV |
NPI Registry JSON
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1992019418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 W HORIZON RIDGE PKWY STE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525016",
"telephone_number": "702-897-7331",
"fax_number": "702-897-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 W HORIZON RIDGE PKWY STE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525016",
"telephone_number": "702-897-7331",
"fax_number": "702-897-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESTWICK",
"first_name": "ANGELA",
"middle_name": "AUREEN",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2023-12-01",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2464",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992019418",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.