Individual provider Active NPI

Eric Teng, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1992553721
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6397 Issued in NV
Practice address
6440 Medical Center St Ste 100
Las Vegas, NV 89148-2404
Phone
(702) 222-1000
Fax
(702) 222-9448
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6397 NV Primary

Addresses

Primary practice location

6440 Medical Center St Ste 100
Las Vegas, NV 89148-2404

Mailing address

2365 Tribeca St
Las Vegas, NV 89135-1142
Phone (206) 883-6821

Other practice location 1

2779 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4185
Phone (702) 222-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6397NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Fitness Inc Physical Therapist CurrentSince Jul 1, 2002 Accepting new patients
Executive Fitness Inc PastSince May 12, 2024 Accepting new patients

Locations

2779 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 222-1000

6440 Medical Center St
Ste 100
Las Vegas, NV 89148
Phone (702) 222-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1992553721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 TRIBECA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351142",
            "telephone_number": "206-883-6821",
            "fax_number": "702-222-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MEDICAL CENTER ST STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482404",
            "telephone_number": "702-222-1000",
            "fax_number": "702-222-9448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2779 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524185",
            "country_code": "US",
            "telephone_number": "702-222-1000",
            "fax_number": "702-897-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENG",
        "first_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6397",
            "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 May 7, 2024; 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.