ELEVATION PHYSICAL THERAPY AND SPORTS AND REHABILITATION, LLC (NPI# 1932356870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932356870 |
| Entity Type | Organization |
| Organization Name | ELEVATION PHYSICAL THERAPY AND SPORTS AND REHABILITATION, LLC |
| Practice Address |
10245 S Maryland Pkwy 153 Las Vegas NV 89183 |
| Mailing Address |
10245 S Maryland Pkwy Unit 153 Las Vegas NV 89183-4041 |
| Practice Telephone | 7027688050 |
| Practice Fax Number | 7027312565 |
| Mailing Telephone | 7027688050 |
| Mailing Fax Number | 7027312565 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | DR. MICHAEL DUDLEY RUSSELL (MANAGER) |
| Authorized Official Telephone | 7027688050 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1007638532 | NV | Agencies |
| Street Address |
10245 S MARYLAND PKWY 153 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720643067 | Karimzada Silverado Ranch Dentistry, PC | Dentist | 45 E. Silverado Ranch Blvd, Suite 100, Las Vegas, NV 89183 | 2019-05-02 |
| 1396247854 | Brian Timothy Budd | Home Health Aide | 10115 Jefres St, Las Vegas, NV 89183 | 2018-03-01 |
| 1891206983 | Gina Balgoyen | Registered Nurse | 2350 Ione Rd, Las Vegas, NV 89183 | 2017-10-17 |
| 1538552815 | Nganha Cheung | Clinic/Center | 8455 S. Eastern Avenue, Las Vegas, NV 89183 | 2015-03-11 |
| 1467878892 | Steve Sanson Jr. | Rehabilitation Practitioner | 340 Welsh Mist Ct, Las Vegas, NV 89183 | 2014-03-10 |
| 1235401829 | Edward D Lewis Jr. | Behavioral Analyst | 10000 S Maryland Parkway #2167, Las Vegas, NV 89183 | 2012-01-30 |
| 1841575248 | Fabrienne Alicia Bowman | Behavioral Analyst | 10143 Climbing Lily St, Las Vegas, NV 89183 | 2011-10-17 |
| 1447538285 | Thuytien Tran Mai | Optometrist | 9770 S Maryland Pkwy Ste 10, Las Vegas, NV 89183 | 2011-07-27 |
| 1902902539 | Bruce C Koelliker | Chiropractor | 9775 S Maryland Pkwy, Ste A, Las Vegas, NV 89183 | 2006-09-14 |
| 1639281777 | Perfect Smile Dental | Dentist | 9895 S Maryland Parkway, Suite A, Las Vegas, NV 89183 | 2006-08-31 |
| Find all providers in zip 89183 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457542 | Maria Isabel Bedolla | Home Health | 5402 S Sir Richard Dr, Las Vegas, NV 89110-4863 | 2020-11-05 |
| 1083212013 | Talya Fritz | Home Health | 10220 Delray Beach Ave Unit 203, Las Vegas, NV 89129-1058 | 2020-10-12 |
| 1174121305 | Pena Francia Home Health Care LLC | Home Health | 2235 E Flamingo Rd Ste 220, Las Vegas, NV 89119-0807 | 2020-10-10 |
| 1467050773 | Real Community Home Health LLC | Home Health | 4660 S Eastern Ave Ste 205, Las Vegas, NV 89119-6139 | 2020-10-09 |
| 1114524311 | Creek View Home Health LLC | Home Health | 2950 E Flamingo Rd Ste H, Las Vegas, NV 89121-5208 | 2020-10-01 |
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1326653908 | Annjo's Home Health Care Inc | Home Health | 3430 E Flamingo Rd Ste 107a, Las Vegas, NV 89121-5003 | 2020-09-10 |
| 1164036968 | My Family Home Health LLC | Home Health | 830 E Sahara Ave, Las Vegas, NV 89104-3009 | 2020-08-31 |
| 1023620333 | 1st Choice Care LLC | Home Health | 6865 Sigri St, Las Vegas, NV 89166-7016 | 2020-08-18 |
| 1114544566 | Gamaliel Digan | Home Health | 3100 E Charleston Blvd Ste 113, Las Vegas, NV 89104-6666 | 2020-07-01 |
| Find all providers in LAS VEGAS | ||||
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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.