NPIMap

Organization Active NPI

Thi of Nevada at Desert Valley Therapy

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1992882054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2071 Issued in NV
Legal business name
THI OF NEVADA AT DESERT VALLEY THERAPY
Practice address
2055 E Sahara Ave
Las Vegas, NV 89104-3829
Phone
(702) 735-1501
Fax
(702) 735-1875
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Torre K Summons, MSPT
Title
Staff Physical Therapist
Phone
(702) 735-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2071 NV Primary

Addresses

Primary practice location

2055 E Sahara Ave
Las Vegas, NV 89104-3829

Mailing address

1600 E Rochelle Ave
Apt 144
Las Vegas, NV 89119-5555
Phone (702) 735-1501

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNV

Other names 1

  • Desert Valley Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Valley Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992882054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E ROCHELLE AVE",
            "address_2": "APT 144",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195555",
            "telephone_number": "702-735-1501",
            "fax_number": "702-735-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043829",
            "telephone_number": "702-735-1501",
            "fax_number": "702-735-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA AT DESERT VALLEY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMONS",
        "authorized_official_first_name": "TORRE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "STAFF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "702-735-1501",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Valley Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.