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GOLD STAR PHYSICAL THERAPY LLC NPI 1336735687


NPI Information

NPI: 1336735687
Provider Name: GOLD STAR PHYSICAL THERAPY LLC
Classification: Physical Therapist - 2251C2600X
Entity Type: Organization

Specialization: Cardiopulmonary

Address:
2651 CRIMSON CANYON DR STE 120
LAS VEGAS, NV
ZIP 89128
Phone: (314) 629-2150
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GOLD STAR PHYSICAL THERAPY LLC is a cardiopulmonary physical therapist in Las Vegas, NV. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. GOLD STAR PHYSICAL THERAPY LLC NPI is 1336735687. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2651 CRIMSON CANYON DR STE 120
LAS VEGAS, NV
ZIP 89128-843
Phone: (314) 629-2150

The provider's authorized official is Faynella Marie Tiu .
The authorized official title is Owner and has the following contact phone number (314) 629-2150.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 1/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251C2600XPhysical TherapistCardiopulmonaryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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