Organization Active NPI

Sipple Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Henderson, NV
National Provider Identifier
1992286199
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SIPPLE PHYSICAL THERAPY LLC
Practice address
2551 N Green Valley Pkwy Ste 205B
Henderson, NV 89014-0272
Phone
(702) 476-9759
Fax
(702) 665-4096
NPI assigned
Aug 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Dr. Kelly Sipple, PT
Title
Owner/Physical Therapist
Phone
(814) 881-7181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2551 N Green Valley Pkwy Ste 205B
Henderson, NV 89014-0272

Mailing address

2551 N Green Valley Pkwy Ste 205
Henderson, NV 89014-2111
Phone (702) 476-9759

National Provider Directory

National Provider Directory

Locations

2551 N Green Valley Pkwy
Ste 205B
Henderson, NV 89014
Phone (702) 476-9759

2551 N Green Valley Pkwy
Ste 205
Henderson, NV 89014
Phone (702) 476-9759

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1992286199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY STE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142111",
            "telephone_number": "702-476-9759",
            "fax_number": "702-665-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY STE 205B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-476-9759",
            "fax_number": "702-665-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIPPLE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "SIPPLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "814-881-7181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 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.