GAVIN R GREEN (NPI# 1780621078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780621078 |
| Entity Type | Individual |
| Full Name | GAVIN R GREEN |
| Credential | MPT |
| Practice Address |
801 S Rancho Dr Ste F-4 Las Vegas NV 89106-3854 |
| Practice Telephone | 7023835115 |
| Practice Fax Number | 7026786159 |
| Mailing Telephone | 7023835115 |
| Mailing Fax Number | 7026786159 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1263 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508271438 | Gavin Hayes Green | Dentist | 1001 Waukegan Rd, Glenview, IL 60025-3034 | 2014-06-30 |
| 1790879708 | Gavin J Green | Dentist | 1801 Glenview Road, Glenview, IL 60025 | 2006-10-03 |
| Street Address |
801 S RANCHO DR STE F-4 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457321549 | Donna Dyer Bar-navon | Psychologist | 801 S Rancho Dr, F-2, Las Vegas, NV 89106 | 2006-01-23 |
| 1033720115 | Shanell James | Behavioral Analyst | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2020-08-12 |
| 1194227215 | Maria Restivo | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-05 |
| 1538661871 | Precious Monique Bayliss | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-02 |
| 1063914323 | Monique Jovanna Hidalgo | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-02 |
| 1558863969 | Jacqueline Snipes | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-01 |
| 1649711383 | Adele Holston Breedlove | Case Manager/Care Coordinator | 801 S Rancho Dr, Suite E2b, Las Vegas, NV 89106-3854 | 2017-03-14 |
| 1649722257 | Micah Schulte | Behavioral Analyst | 801 S Rancho Dr, Suite E3b, Las Vegas, NV 89106-3854 | 2016-10-30 |
| 1679024483 | Ava Victoria Albanese | Behavioral Analyst | 801 S Rancho Dr, Ste E3b, Las Vegas, NV 89106-3854 | 2016-10-17 |
| 1467905844 | Chante Monique William | Behavioral Analyst | 801 S Rancho Dr, Suite D2, Las Vegas, NV 89106-3854 | 2016-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1376143974 | Retune Physiotherapy and Wellness Pllc | Physical Therapist | 6855 Crimson Horse Ct, Las Vegas, NV 89148-5144 | 2020-11-01 |
| 1568062594 | Marie Eugenie Manalastas Pabustan | Physical Therapist | 7341 Woodfall Glen St, Las Vegas, NV 89148-1831 | 2020-10-28 |
| 1992305239 | Jeffrey Michael Lorch | Physical Therapist | 7455 W Washington Ave Ste 480, Las Vegas, NV 89128-4338 | 2020-10-27 |
| 1497354377 | James Morris | Physical Therapist | 6048 S Durango Dr Ste 100, Las Vegas, NV 89113-1781 | 2020-10-21 |
| 1780298802 | Marissa Ann Toberman | Physical Therapist | 5035 Fiery Sky Ridge St, Las Vegas, NV 89148-1843 | 2020-09-04 |
| 1477165736 | Lvl Up Physical Therapy, Pllc | Physical Therapist | 3777 Pecos Mcleod Ste 102, Las Vegas, NV 89121-4265 | 2020-08-18 |
| 1912518705 | Mindfully Align Physio, Cua-de Leon Pt, Pllc | Physical Therapist | 7615 Tierra Montanosa Ave, Las Vegas, NV 89179-2040 | 2020-08-14 |
| 1073139986 | Gymphysio LLC | Physical Therapist | 7537 S Rainbow Blvd Ste 109, Las Vegas, NV 89139-0504 | 2020-06-17 |
| 1548885684 | Stephen Burke Hill | Physical Therapist | 3530 E Flamingo Rd Ste 115, Las Vegas, NV 89121-5091 | 2020-06-15 |
| 1790300184 | Talabis Physical Therapy Services, Inc | Physical Therapist | 9224 Thunder Falls Ct, Las Vegas, NV 89149-1673 | 2020-06-11 |
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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.