Active NPI
Jon Philip McGill, PT, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1992354641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4079
- Practice address
- 6070 S Fort Apache Rd
Suite 110
Las Vegas, NV 89148 - Phone
- (702) 839-1114
- Fax
- (702) 380-1081
- NPI assigned
- Sep 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4079 | NV | Primary |
Addresses
Primary practice location
6070 S Fort Apache Rd
Suite 110
Las Vegas, NV 89148
Mailing address
P.O. Box 777851
Henderson, NV 89077-7851
Phone (937) 734-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Good Shepherd Rehab Centers of Las Vegas Inc | Physical Therapist | Past | Accepting new patients |
| Good Shepherd Hospice Care Inc | Past | Accepting new patients |
Locations
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
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
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1871157875
-
- Physical Therapist
- Las Vegas, NV
- NPI 1053594937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1992354641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 777851",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890777851",
"telephone_number": "937-734-8333",
"fax_number": "937-734-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 S FORT APACHE RD",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-839-1114",
"fax_number": "702-380-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "JON PHILIP",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-05",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4079",
"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 Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.