MEDICARE: AFFILIATED PHYSICAL THERAPY

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	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist	2247	NV

General Provider Information

NPI Number	:	1669607156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFILIATED PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	3840 W ANN RD STE 101B
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4404
Country	:	US
Telephone Number	:	702-564-6712
Fax Number	:	702-564-4838

Provider Business Practice Location Address
First Line	:	3840 W ANN RD STE 101B
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4404
Country	:	US
Telephone Number	:	702-564-6712
Fax Number	:	702-564-4838

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE JOLLEY
Credential	:	DPT
Telephone Number	:	702-564-6712

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	03/30/2026

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Directions to “AFFILIATED PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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