MEDICARE: FOX PHYSICAL THERAPY

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

General Provider Information

NPI Number	:	1407798432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOX PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	9046 RIMERTON ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6854
Country	:	US
Telephone Number	:	912-254-1585
Fax Number	:

Provider Business Practice Location Address
First Line	:	6070 W CRAIG RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2565
Country	:	US
Telephone Number	:	912-254-1585
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CHANDLER FOX
Credential	:	DPT
Telephone Number	:	912-254-1585

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “FOX PHYSICAL THERAPY ” Practice Location

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