| Las Fyzical Llc | |
|
9070 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-8935 | |
| (702) 818-5000 | |
| (702) 818-5001 |
| Full Name | Las Fyzical Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 9070 W Cheyenne Ave Ste 100, 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 |
|---|---|---|---|
| 1215361688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Jimmy Pajuheshfar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154757243 PECOS PAC ID: 7214152628 Enrollment ID: I20140626002683 |
| Provider Name | James L Mortensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013326602 PECOS PAC ID: 4486876828 Enrollment ID: I20141119001357 |
| Provider Name | Alexis N Carlston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649647652 PECOS PAC ID: 0547577207 Enrollment ID: I20150914002487 |
| Provider Name | Alexander Darkhovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558713321 PECOS PAC ID: 5092002543 Enrollment ID: I20160927000903 |
| Provider Name | Krysta A Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275085912 PECOS PAC ID: 6608155528 Enrollment ID: I20161117000892 |
| Provider Name | Laura Ann Badovinac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114443298 PECOS PAC ID: 4486911179 Enrollment ID: I20171205003017 |
| Provider Name | Zachary Mcconnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073097002 PECOS PAC ID: 4284988379 Enrollment ID: I20200918001791 |
| Provider Name | Karleeann Bush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235884065 PECOS PAC ID: 4880088913 Enrollment ID: I20220718001844 |
| Provider Name | Nicholas C Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235846601 PECOS PAC ID: 7416325758 Enrollment ID: I20221117002562 |
| Provider Name | Crizlin I Julian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902518798 PECOS PAC ID: 0648640482 Enrollment ID: I20230112000252 |
| Provider Name | Matthew Serrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336619766 PECOS PAC ID: 5799022315 Enrollment ID: I20230324001337 |
| Provider Name | Nicole Kaes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871284984 PECOS PAC ID: 4587022058 Enrollment ID: I20230615002891 |
| Provider Name | Nicholas Clark Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275223174 PECOS PAC ID: 4981062130 Enrollment ID: I20230620001723 |
| Provider Name | Billy La |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659057115 PECOS PAC ID: 6709245509 Enrollment ID: I20230711001248 |
| Provider Name | Alyssa Brusatto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508545542 PECOS PAC ID: 4688038557 Enrollment ID: I20230911002482 |
| Provider Name | Nikael Badovinac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861172587 PECOS PAC ID: 5294199188 Enrollment ID: I20230911003228 |
| Provider Name | Emily Redpath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881377430 PECOS PAC ID: 3375997356 Enrollment ID: I20230925001975 |
| Provider Name | Joseph Lippman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083499578 PECOS PAC ID: 4183079536 Enrollment ID: I20231005000348 |
| Provider Name | Christal Liaw Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568140499 PECOS PAC ID: 7719338748 Enrollment ID: I20240103004870 |
| Provider Name | Alicia Letkiewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821838418 PECOS PAC ID: 4486191475 Enrollment ID: I20240808001366 |
| Provider Name | Bryce Pfeifle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437981354 PECOS PAC ID: 7810438520 Enrollment ID: I20240923000201 |
| Provider Name | Kaylee Savage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831925262 PECOS PAC ID: 8628500618 Enrollment ID: I20241015003981 |
| Provider Name | Mateo Serrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285451906 PECOS PAC ID: 8022540020 Enrollment ID: I20241015004277 |
| Provider Name | Erik Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497551014 PECOS PAC ID: 5890215388 Enrollment ID: I20250227002150 |
| Provider Name | Karissa Danielle Gribbin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255877924 PECOS PAC ID: 6406378652 Enrollment ID: I20250318001577 |
| Provider Name | Christopher Zatezalo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336939669 PECOS PAC ID: 7315457058 Enrollment ID: I20250611001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Las Fyzical Llc Po Box 632661, Cincinnati, OH 45263-2661 Ph: (702) 818-5000 | Las Fyzical Llc 9070 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-8935 Ph: (702) 818-5000 |