Healthcare Provider Details

I. General information

NPI: 1609780816
Provider Name (Legal Business Name): NICOLAS MICHAEL RAMOS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2779 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-4185
US

IV. Provider business mailing address

1130 ALPER CENTER DR UNIT 3165
HENDERSON NV
89052-0546
US

V. Phone/Fax

Practice location:
  • Phone: 702-222-1000
  • Fax:
Mailing address:
  • Phone: 818-383-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7098
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: