Active NPI
Eric Teng, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1992553721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6397
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6397 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Fitness Inc | Physical Therapist | Current | Accepting new patients |
| Executive Fitness Inc | Past | 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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1881710192
-
- Specialist
- Las Vegas, NV
- NPI 1144552316
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.