MEDICARE: CONTINUUM GROUP WEST LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1497078000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUUM GROUP WEST LLC

Provider Business Mailing Address
First Line	:	8230 LEESBURG PIKE STE 740
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2641
Country	:	US
Telephone Number	:	702-794-0507
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 S MARYLAND PKWY
Second Line	:	STE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2303
Country	:	US
Telephone Number	:	702-794-0507
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HARVY M KAPLAN
Credential	:	MD
Telephone Number	:	702-794-0300

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	07/12/2022

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