NATHAN REGINALD PETERSON (NPI# 1548790868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548790868 |
| Entity Type | Individual |
| Full Name | NATHAN REGINALD PETERSON |
| Credential | DPT |
| Practice Address |
2012 S Jones Blvd Las Vegas NV 89146-3151 |
| Mailing Address |
7227 W Windmill Ln Unit 256 Las Vegas NV 89113-4612 |
| Practice Telephone | 7023601137 |
| Mailing Telephone | 8018855755 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PTL-0014913 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 N Gibson Rd Ste 140, Henderson, NV 890146787 | 7023601137 | |
| 7501 W Lake Mead Blvd Ste 115, Las Vegas, NV 891281008 | 7023601137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992043012 | Nathan Alan Peterson | Chiropractor | 50 S. Federal Blvd, Denver, CO 80219 | 2013-01-24 |
| 1447534268 | Nathan Mark Peterson | Counselor | 1459 N Main St, Bountiful, UT 84010-6092 | 2011-09-29 |
| 1053459867 | Nathan Randall Peterson | Student in an Organized Health Care Education/Training Program | Santa Margarita, Camp Penleton, CA 92055 | 2007-02-02 |
| 1659971927 | Nathan Alan Peterson | Nurse Practitioner | 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650 | 2020-10-27 |
| 1073035077 | Nathan Peterson | Community Health Worker | 501 Albany Ave, Torrington, WY 82240-1503 | 2017-07-11 |
| 1225489594 | Nathan Isaiah Peterson | Massage Therapist | 2390 Nw Thurman St, Portland, OR 97210-2521 | 2016-06-28 |
| 1194135350 | Nathan Robert Peterson | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2014-04-28 |
| 1144513888 | Nathan S Peterson | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2011-05-26 |
| 1205130234 | Nathan D Peterson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2011-01-05 |
| 1528134848 | Nathan Y Peterson | Counselor | 172 Lincoln St, Worcester, MA 01605-3750 | 2006-11-28 |
| Street Address |
2012 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728665 | Kimberly Ohara Fleming | Speech-Language Pathologist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2005-08-31 |
| 1225635675 | Rianna Alcantara Shattuck | Physical Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-10-07 |
| 1184221863 | Ann Barden | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-10-05 |
| 1760098974 | Elizabeth Trujillo | Physical Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-09-22 |
| 1679188809 | Camila Escobar | Physical Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-09-14 |
| 1871107276 | Allison Nicole Herman | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-09-02 |
| 1336751502 | Portia Lynn Maravich | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-08-19 |
| 1770100760 | Alicia Coro | Physical Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-06-25 |
| 1689299141 | Anthony James Mlotkowski | Physical Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-06-10 |
| 1407479215 | Brielle Scully Foster | Speech-Language Pathologist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2020-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265094270 | Rehab Directives LLC | Physical Therapist | 3165 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2019-07-01 |
| 1659722502 | Kimberly N. Beeman, Pt, Dpt, Pllc | Physical Therapist | 2740 Twin Palms Cir, Las Vegas, NV 89117-2977 | 2016-06-22 |
| 1841527827 | Shelley Celeste | Physical Therapist | 3555 W Reno Ave Ste F, Las Vegas, NV 89118-1609 | 2009-11-11 |
| 1649435488 | Kristen Jolene Barbour | Physical Therapist | 8308 Hampshire Bay St, Las Vegas, NV 89139-6830 | 2008-07-22 |
| 1194984179 | Jennifer Spanheimer | Physical Therapist | 6440 Skypointe Drive, #140-398, Las Vegas, NV 89131 | 2008-06-05 |
| 1215084843 | Josephine Galan De Leon | Physical Therapist | 505 E Windmill Ln, #1 B-125, Las Vegas, NV 89123-1869 | 2007-01-04 |
| 1497810576 | My Left Foot Children's Therapy | Physical Therapist | 2012 S. Jones Blvd, Las Vegas, NV 89146 | 2006-12-27 |
| 1386705580 | Foundation for Positively Kids | Physical Therapist | 701 N Pecos Rd, Bldg M, Las Vegas, NV 89101-2400 | 2006-12-12 |
| 1164519146 | Katherine Joines | Physical Therapist | 7621 Desert Largo Ave, Las Vegas, NV 89128-7299 | 2006-10-09 |
| 1902993983 | Angelica Aguayo | Physical Therapist | 7361 Prairie Falcon Rd, 130, Las Vegas, NV 89128-0823 | 2006-10-09 |
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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.