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5785 Centennial Center Blvd Ste 220, Las Vegas, NV 89149-7111 | |
| (702) 916-2777 | |
| (702) 916-2778 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5785 Centennial Center Blvd Ste 220, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851332720 | NPI | - | NPPES |
| 100500008 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 007711 (Nevada) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Nic M Sparrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629186945 PECOS PAC ID: 6800811019 Enrollment ID: I20070822001333 |
| Provider Name | Jesse J Yurko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700159225 PECOS PAC ID: 3678732880 Enrollment ID: I20200603000042 |
| Provider Name | Nolan Michael Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659979540 PECOS PAC ID: 3072923762 Enrollment ID: I20201109002074 |
| Provider Name | Heather Hutchinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194240713 PECOS PAC ID: 4284991258 Enrollment ID: I20231113002141 |
| Mailing Address | Practice Location Address |
|---|---|
5785 Centennial Center Blvd Ste 220, Las Vegas, NV 89149-7111 Ph: (702) 916-2777 | 5785 Centennial Center Blvd Ste 220, Las Vegas, NV 89149-7111 Ph: (702) 916-2777 |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Dr. Erin Longhurst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128 Phone: 702-240-2952 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
Chanha Hwang, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8174 Las Vegas Blvd S Ste 109-150, Las Vegas, NV 89123 Phone: 702-883-9528 Fax: 702-852-5715 |