MR. CONNOR LEE VANG (NPI# 1174166128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174166128 |
| Entity Type | Individual |
| Full Name | MR. CONNOR LEE VANG |
| Credential | PTA |
| Practice Address |
3831 W Charleston Blvd Las Vegas NV 89102-1859 |
| Mailing Address |
9599 W Charleston Blvd Apt 1170 Las Vegas NV 89117-6670 |
| Practice Telephone | 7028761733 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A-1250 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3831 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333009 | Thomas William Chynoweth Sr. | Physical Therapist | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2005-08-18 |
| 1861017527 | Nikita Yuskov | Physical Therapist | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2020-06-09 |
| 1043728033 | Kareem Jabraun Gwinn | Physical Therapy Assistant | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2018-01-12 |
| 1689181000 | Barbara Pawelek | Physical Therapy Assistant | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2018-01-08 |
| 1003277484 | Travis Grondel | Physical Therapy Assistant | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2016-03-14 |
| 1508257155 | Stephen Rhodes | Physical Therapy Assistant | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2015-02-17 |
| 1235435710 | Brook Bradford Corbitt | Physical Therapist | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2011-02-01 |
| 1083847719 | Phillip Dimotsantos | Physical Therapist | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2009-08-28 |
| 1083869283 | Kimberly Janeen Bozart - Dow | Physical Therapist | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2008-12-02 |
| 1861504193 | Matthew Randall Frehner | Physical Therapist | 3831 W Charleston Blvd, Las Vegas, NV 89102-1859 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357414 | Melanie Marsh | Physical Therapy Assistant | 5015 Pearlite Ave, Las Vegas, NV 89120-1573 | 2020-08-19 |
| 1124598032 | Rainier Navarro | Physical Therapy Assistant | 3050 E Bonanza Rd Ste 110b, Las Vegas, NV 89101-3706 | 2018-12-04 |
| 1003386533 | Damon Elliott | Physical Therapy Assistant | 9906 Gray Sea Eagle Ave, Las Vegas, NV 89117-8426 | 2018-11-27 |
| 1396224952 | Robin Hargett | Physical Therapy Assistant | 6617 Sunset Pines St, Las Vegas, NV 89148-4251 | 2018-08-13 |
| 1730676289 | Alexander Stroynov | Physical Therapy Assistant | 7291 Deerfield Cir, Las Vegas, NV 89147-4548 | 2018-04-19 |
| 1083122188 | Arlene P Abell | Physical Therapy Assistant | 7440 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-7434 | 2018-01-11 |
| 1447764071 | Robyn Reyes | Physical Therapy Assistant | 9050 W Cheyenne Ave, Las Vegas, NV 89129-8932 | 2017-11-17 |
| 1124546023 | Austin M Okeeffe | Physical Therapy Assistant | 1945 E Warm Springs Rd # 300, Las Vegas, NV 89119-4583 | 2017-08-31 |
| 1548703010 | Stephen Dallas | Physical Therapy Assistant | 357 Lakewood Garden Dr, Las Vegas, NV 89148-2737 | 2016-11-30 |
| 1346796794 | Selica Dingson | Physical Therapy Assistant | 715 Sole Addiction Ave, Las Vegas, NV 89183-7222 | 2016-08-26 |
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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.