MR. JOSHUA REESE MANZANO (NPI# 1265817084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265817084 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA REESE MANZANO |
| Practice Address |
5812 Sutcliffe Cir Las Vegas NV 89110-3855 |
| Practice Telephone | 7025187247 |
| Mailing Telephone | 7025187247 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225600000X | Dance Therapist | R-DMT-2456 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5812 SUTCLIFFE CIR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89110-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679873780 | Desiree C Cantorna-ibarra | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2010-10-25 |
| 1033583307 | Chelsey Corpuz | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-11-23 |
| 1790174415 | Ashley M. Bulosan | Psychologist | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-01-19 |
| 1689003659 | Mason Cantorna | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2013-11-10 |
| 1972873586 | Pacific Behavioral Health Services | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2012-01-12 |
| 1083906432 | Reelana Marie Corpuz | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740792 | Egalitarian Nevada LLC | Community/Behavioral Health | 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 | 2019-10-03 |
| 1730698333 | Antoinette Garrett | Rehabilitation Practitioner | 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 | 2017-09-26 |
| 1063883486 | Chanfay Michelle Dabney | Adult Companion | 609 Sponseller, Las Vegas, NV 89110 | 2015-10-12 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1679994487 | Maria Arias De Lujan | Registered Nurse | 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-20 |
| 1932520988 | Satoko Brilis | Registered Nurse | 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 | 2013-12-18 |
| 1245651231 | Loriza Chongtai | Registered Nurse | 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1255752242 | Marites Navarro | Registered Nurse | 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1770904781 | Karen M Atkins | Registered Nurse | 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 | 2013-12-17 |
| 1780020016 | Emma Jean Watson | Counselor | 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 | 2013-05-14 |
| Find all providers in zip 89110 | ||||
| Taxonomy Code | 225600000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Dance Therapist |
| The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master’s degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR). |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.