DYLAN DITZLER (NPI# 1568740025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568740025 |
| Entity Type | Individual |
| Full Name | DYLAN DITZLER |
| Practice Address |
2831 Saint Rose Pkwy Fl 2 Henderson NV 89052-4840 |
| Practice Telephone | 7025409534 |
| Practice Fax Number | 7025894866 |
| Mailing Telephone | 7025409534 |
| Mailing Fax Number | 7025894866 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2831 SAINT ROSE PKWY FL 2 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467746008 | Grace G Ribera | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-05-31 |
| 1578842472 | Ibeeth Lopez | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-08-09 |
| 1578842605 | Bianca R Webb | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-08-07 |
| 1194010256 | Carrie Miller | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-16 |
| 1427343276 | Pola Blitz | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-09 |
| 1033403068 | Lamar Lee | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-07 |
| 1407140593 | Rita Lowicki | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-06 |
| 1801180914 | Carolina Casanas | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-06 |
| 1316231426 | Ruzena Zatko | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-06 |
| 1831483171 | Robert Moore | Rehabilitation Practitioner | 2831 Saint Rose Pkwy Fl 2, Henderson, NV 89052-4840 | 2011-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
| 1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
| 1922634880 | Jessica Joy Siewert | Rehabilitation Practitioner | 250 Autumn Eve St, Henderson, NV 89074-7837 | 2020-03-22 |
| 1427681048 | Leigh M Mcginest | Rehabilitation Practitioner | 1050 Whitney Ranch Dr Apt 3412, Henderson, NV 89014-3049 | 2020-02-21 |
| 1801438155 | Nicole Welch | Rehabilitation Practitioner | 819 Lauren Patt Ct, Henderson, NV 89014-2589 | 2019-10-08 |
| 1891345526 | Blake Anthony Spataro | Rehabilitation Practitioner | 1925 Davina St, Henderson, NV 89074-1034 | 2019-09-15 |
| 1558910562 | Antwahn Mack Taylor | Rehabilitation Practitioner | 1644 Ravanusa Dr, Henderson, NV 89052-4071 | 2019-09-11 |
| 1740844117 | Samantha Anne Mcdaniel | Rehabilitation Practitioner | 67 Star Dunes St, Henderson, NV 89012-2637 | 2019-04-30 |
| 1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
| 1053889154 | Jessy Hernandes | Rehabilitation Practitioner | 73 Constitution Ave, Henderson, NV 89015-5782 | 2018-11-06 |
| Find all providers in HENDERSON | ||||
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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.