| Prism Pt Llc | |
|
6823 Ponderosa Way, Las Vegas, NV 89118-2100 | |
| (702) 338-2533 | |
| Not Available |
| Full Name | Prism Pt Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6823 Ponderosa Way, 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 |
|---|---|---|---|
| 1992339824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Scott Robert Pensivy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952361107 PECOS PAC ID: 1759307747 Enrollment ID: I20051108001082 |
| Provider Name | Sofia Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316555147 PECOS PAC ID: 5193136075 Enrollment ID: I20201125000514 |
| Provider Name | Michael James Hannett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760962062 PECOS PAC ID: 3779836135 Enrollment ID: I20210115000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Pt Llc 7575 W Washington Ave Ste 127-140, Las Vegas, NV 89128-4333 Ph: (702) 796-8849 | Prism Pt Llc 6823 Ponderosa Way, Las Vegas, NV 89118-2100 Ph: (702) 338-2533 |
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 |