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NEVADA SPORTS AND SPINE NPI 1720480510


NPI Information

NPI: 1720480510
Provider Name: NEVADA SPORTS AND SPINE
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 29D2167751

Address:
6765 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
ZIP 89146
Phone: (702) 800-8988
Get Directions

NEVADA SPORTS AND SPINE is a sports medicine physical medicine rehabilitation in Las Vegas, NV. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NEVADA SPORTS AND SPINE NPI is 1720480510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6765 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
ZIP 89146-001
Phone: (702) 800-8988

The provider's authorized official is Brandon Snead .
The authorized official title is Manager and has the following contact phone number (702) 518-5774.

The CLIA number assigned to this NPI record is 29D2167751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 2/15/2022.


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
1208100000XPhysical Medicine & RehabilitationNo
22081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineNo
32081S0010XPhysical Medicine & RehabilitationSports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174766620MEDICAIDNEVADA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.