NPIMap

Organization Active NPI

Prism PT LLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1992339824
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRISM PT LLC
Practice address
6823 Ponderosa Way
Las Vegas, NV 89118-2100
Phone
(702) 338-2533
NPI assigned
Feb 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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

Authorized official

Name
Scott R Pensivy, PT
Title
Owner
Phone
(702) 338-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6823 Ponderosa Way
Las Vegas, NV 89118-2100

Mailing address

7575 W Washington Ave Ste 127-140
Las Vegas, NV 89128-4333
Phone (702) 796-8849

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 7027966310 Direct

National Provider Directory

National Provider Directory

Locations

6823 Ponderosa Way
Las Vegas, NV 89118
Phone (702) 338-2533

7575 W Washington Ave
Ste 127140
Las Vegas, NV 89128

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582934400000",
    "number": "1992339824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE STE 127-140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-796-8849",
            "fax_number": "702-796-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 PONDEROSA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182100",
            "telephone_number": "702-338-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-29",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A",
        "authorized_official_last_name": "PENSIVY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-338-2533",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7027966310",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "6823 Ponderosa Way",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891182100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 29, 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.