NPI 1609435460 · live from the CMS NPI Registry
Gregory Manuel Amaya, PT, DPT
Physical Therapist in North Las Vegas, NV. National Provider Identifier 1609435460, active.
NPI record
| NPI | 1609435460 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1550 W Craig Rd Ste 210, North Las Vegas, NV 89032 |
| Practice phone | 702-360-9142 |
| Mailing address | 4255 Tamarus St Apt 244, Las Vegas, NV 89119 |
| Enumerated | June 6, 2019 |
| Last updated | June 6, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 4012 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.