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NPI Code Detail

MEDICARE: THERAPY MANAGEMENT GROUP, LLC

MEDICARE: THERAPY MANAGEMENT GROUP, 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
1133VN1004XPediatric Nutrition Registered Dietitian
2208000000XPediatrics Physician
32251P0200XPediatric Physical Therapist1636NV
4231H00000XAudiologist
5235Z00000XSpeech-Language Pathologist
6252Y00000XEarly Intervention Provider Agency
7261QR0400XRehabilitation Clinic/CenterNV20031166309NV
8225XP0200XPediatric Occupational Therapist0537NV

Other Identifiers

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

General Provider Information

NPI Number : 1043331259
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY MANAGEMENT GROUP, LLC
Provider Business Mailing Address
First Line : 6465 W SAHARA AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3071
Country : US
Telephone Number : 702-595-5437
Fax Number : 702-425-2787
Provider Business Practice Location Address
First Line : 6465 W SAHARA AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3071
Country : US
Telephone Number : 702-595-5437
Fax Number : 702-425-2787
Authorized Official
Title or Position : MANAGER
Name : MR. PARTICK D SANTORO
Credential : OT
Telephone Number : 702-406-0158
Provider Enumeration Date : 04/03/2007
Last Update Date : 06/12/2025

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Directions to “THERAPY MANAGEMENT GROUP, LLC ” Practice Location

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