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
1	261QP2000X	Physical Therapy Clinic/Center	2901	NV

General Provider Information

NPI Number	:	1174946263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY MANAGEMENT GROUP LLC

Provider Business Mailing Address
First Line	:	8020 W SAHARA AVE STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7917
Country	:	US
Telephone Number	:	702-290-0731
Fax Number	:

Provider Business Practice Location Address
First Line	:	8020 W SAHARA AVE STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7917
Country	:	US
Telephone Number	:	702-290-0731
Fax Number	:

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MARTHA ESTRADA
Credential	:
Telephone Number	:	702-290-0731

Provider Enumeration Date	:	01/27/2014
Last Update Date	:	07/02/2024

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