MEDICARE: COMPREHENSIVE THERAPY CENTERS, 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	NV20021124290	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942426549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE THERAPY CENTERS, LLC

Provider Business Mailing Address
First Line	:	3602 E SUNSET RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-7202
Country	:	US
Telephone Number	:	702-932-4308
Fax Number	:	702-837-8930

Provider Business Practice Location Address
First Line	:	1420 E CALVADA BLVD
Second Line	:	SUITE 300
City	:	PAHRUMP
State	:	NV
Zip	:	89048-3974
Country	:	US
Telephone Number	:	775-727-4700
Fax Number	:	775-727-7970

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALEJANDRO DELGADO
Credential	:	PT
Telephone Number	:	702-932-4308

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	02/11/2014

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