Individual provider Active NPI

Angela Aureen Bestwick, PHYSICAL THERAPIST

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1992019418
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6310 Issued in NV
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.

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 LLC 5 clinicians
Smith Therapy Partners 46 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2464NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 27, 2023 Accepting new patients

Locations

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 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

IdentifierTypeStateIssuer
1992019418MedicaidNV

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.