MEDICARE: DR. JASON A CICCOTELLI DPT

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	225100000X	Physical Therapist	2440	NV

General Provider Information

NPI Number	:	1265725048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON A CICCOTELLI DPT

Provider Business Mailing Address
First Line	:	1453 BRITTANY SHORES DRIVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123
Country	:	US
Telephone Number	:	702-406-6108
Fax Number	:

Provider Business Practice Location Address
First Line	:	2832 SOUTH MARYLAND PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109
Country	:	US
Telephone Number	:	702-406-6108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2011
Last Update Date	:	05/26/2011

Similar Medicare Providers

1790378453 — AMIBEN DUDHIA APRN
Practice Location Address:

3061 S MARYLAND PKWY
LAS VEGAS, NV
89109-2298

Practice Phone: 702-254-5437
Practice Fax: 702-254-7354

1124976139 — KAHAK NV INC
Practice Location Address:

101 CONVENTION CENTER DR STE 900
LAS VEGAS, NV
89109-2039

Practice Phone: 301-641-1514
Practice Fax:

1679924765 — SUTTER BAY MEDICAL FOUNDATION
Practice Location Address:

3006 S MARYLAND PKWY STE 470
LAS VEGAS, NV
89109-2235

Practice Phone: 702-796-9111
Practice Fax: 702-792-9112

1164370763 — LAS VEGAS VIP URGENT CARE, LLC
Practice Location Address:

2971 S SAMMY DAVIS JR DR , UNIT 130 & 132
LAS VEGAS, NV
89109-1196

Practice Phone: 702-802-0243
Practice Fax:

1386527562 — MAN CHING LAM NP
Practice Location Address:

3201 S MARYLAND PKWY STE 101
LAS VEGAS, NV
89109-2423

Practice Phone: 702-910-6857
Practice Fax:

1821943796 — JULIE BUSHNELL
Practice Location Address:

3035 S MARYLAND PKWY
LAS VEGAS, NV
89109-2200

Practice Phone: 702-857-8800
Practice Fax:

1710833629 — DANIEL JEFFERY CROSBY
Practice Location Address:

3186 S MARYLAND PKWY
LAS VEGAS, NV
89109-2317

Practice Phone: 702-961-5000
Practice Fax:

Directions to “ DR. JASON A CICCOTELLI DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.