REBECCA L PRIVITT (NPI# 1497734503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497734503 |
| Entity Type | Individual |
| Full Name | REBECCA L PRIVITT |
| Other Name | REBECCA L PUCKETT |
| Credential | PT |
| Practice Address |
4765 S Durango Dr Suite #106 Las Vegas NV 89147-8145 |
| Mailing Address |
8561 W Fisher Ave Las Vegas NV 89149-4057 |
| Practice Telephone | 7028987633 |
| Practice Fax Number | 9278819519 |
| Mailing Telephone | 7025450265 |
| Mailing Fax Number | 9287719519 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2039 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 783292 | 05 |
| Street Address |
4765 S DURANGO DR SUITE #106 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-8145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205266764 | Brandon Jackson Pt | Physical Therapist | 4765 S Durango Dr, Suite 106, Las Vegas, NV 89147-8145 | 2013-11-20 |
| 1164715652 | Brandon K Richards | Physical Therapist | 4765 S Durango Dr, 106, Las Vegas, NV 89147-8145 | 2011-05-17 |
| 1821114695 | William G. Robison | Dentist | 4765 S Durango Dr, Suite #100, Las Vegas, NV 89147-8145 | 2007-03-22 |
| 1730121419 | Bridget Ann Holdar | Physical Therapist | 4765 S Durango Dr, Suite #106, Las Vegas, NV 89147-8145 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526045 | Direct To You Physical Therapy, Pllc | Clinic/Center | 10334 Howling Coyote Ave, Las Vegas, NV 89135-1119 | 2020-07-27 |
| 1437778784 | Lvc Physical Therapy LLC | Clinic/Center | 1050 S Rainbow Blvd Ste 210, Las Vegas, NV 89145-6231 | 2020-04-15 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1598316598 | Grow Therapy Nv | Clinic/Center | 9321 Colorful Rainbow Ave, Las Vegas, NV 89166-3777 | 2019-09-23 |
| 1558921205 | Onsight Movement, LLC | Clinic/Center | 10809 Garden Mist Dr Apt 2051, Las Vegas, NV 89135-2886 | 2019-06-15 |
| 1376018556 | Gemm Physical Therapy LLC | Clinic/Center | 9646 Kirkland Ranch Ct, Las Vegas, NV 89139-7496 | 2018-10-03 |
| 1285111823 | Pr Acquisition Corporation | Clinic/Center | 6048 S Durango Dr Ste 100&105, Las Vegas, NV 89113-1781 | 2018-07-26 |
| 1831604099 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 3000 Las Vegas Blvd S Trlr C, Las Vegas, NV 89109-1932 | 2017-12-11 |
| 1982947701 | A-grav 1 LLC | Clinic/Center | 365 E Windmill Ln, Las Vegas, NV 89123-1807 | 2013-03-29 |
| 1972775542 | Arc Therapy Services LLC | Clinic/Center | 6650 W Flamingo Rd, Las Vegas, NV 89103-2142 | 2008-03-24 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on REBECCA L PRIVITT.
| 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.