Healthcare Provider Details

I. General information

NPI: 1538087580
Provider Name (Legal Business Name): ALEXIA PADILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3199 E WARM SPRINGS RD STE 200
LAS VEGAS NV
89120-3150
US

IV. Provider business mailing address

5421 KAMILLA RAEN ST
NORTH LAS VEGAS NV
89031-0795
US

V. Phone/Fax

Practice location:
  • Phone: 702-998-1793
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA-1764
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: