| Mr Matthew Thomas Killian, | |
|
400 N Stephanie St Ste 310, Henderson, NV 89014-6608 | |
| (702) 454-1162 | |
| (702) 454-8817 |
| Full Name | Mr Matthew Thomas Killian |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 400 N Stephanie St Ste 310, Henderson, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730226747 | NPI | - | NPPES |
| 1702161 | Medicaid | NV | |
| DU0139 | Other | NV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT16888 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT 16888 (Florida) | Secondary |
| 225100000X | Physical Therapist | 2398 (Nevada) | Primary |
| Provider Name | New Century Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396777892 PECOS PAC ID: 3274422647 Enrollment ID: O20040312001184 |
| Provider Name | Nevada Luna Care Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457087009 PECOS PAC ID: 6901280510 Enrollment ID: O20220831001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Thomas Killian, 400 N Stephanie St Ste 310, Henderson, NV 89014-6608 Ph: (702) 454-1162 | Mr Matthew Thomas Killian, 400 N Stephanie St Ste 310, Henderson, NV 89014-6608 Ph: (702) 454-1162 |
Mr. Jon Nicastro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 N Stephanie St Ste 310, Henderson, NV 89014 Phone: 575-636-7434 |
Mr. Michael D Russell, PT,DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3005 W Horizon Ridge Pkwy Ste 101, Henderson, NV 89052 Phone: 702-840-2500 Fax: 725-234-1515 |
Arnel Sulit, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Green Valley Pkwy, Henderson, NV 89074 Phone: 702-998-3333 Fax: 702-260-4051 |
Katherine Lee Villarreal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 Phone: 702-294-7498 |
Phillipp Yu, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1710 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012 Phone: 702-489-9217 Fax: 702-489-9134 |
Live To Ignite, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1290 Cornet St, Henderson, NV 89052 Phone: 623-556-6043 |
Dr. Trevor Tseu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9005 S Pecos Rd Ste 2520, Henderson, NV 89074 Phone: 702-818-5000 Fax: 702-818-5001 |