Healthcare Provider Details

I. General information

NPI: 1356498620
Provider Name (Legal Business Name): PARAGON OUTPATIENT THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GREEN VALLEY PKWY # 8 SUITE B
HENDERSON NV
89074-5885
US

IV. Provider business mailing address

1231 E BASIN AVE SUITE 7
PAHRUMP NV
89060-4601
US

V. Phone/Fax

Practice location:
  • Phone: 702-914-2790
  • Fax: 702-914-5984
Mailing address:
  • Phone: 775-537-2300
  • Fax: 775-537-2345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAM W SPEAR
Title or Position: DIRECTOR OF SERVICES
Credential:
Phone: 702-914-2790