DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. BERNE M LEAVITT SR. PT

MEDICARE: MR. BERNE M LEAVITT SR. PT
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
1225100000XPhysical Therapist444NV

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 : 1457343188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BERNE M LEAVITT SR. PT
Provider Business Mailing Address
First Line : 3831 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1859
Country : US
Telephone Number : 702-876-1733
Fax Number : 702-878-2018
Provider Business Practice Location Address
First Line : 3831 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1859
Country : US
Telephone Number : 702-876-1733
Fax Number : 702-878-2018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 11/19/2007

Similar Medicare Providers

1114881703 — TEYHA BAHE
Practice Location Address:
3831 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89102-1859
Practice Phone: 725-735-2700
Practice Fax:
1356333009 — MR. THOMAS WILLIAM CHYNOWETH SR. PT
Practice Location Address:
3831 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1859
Practice Phone: 702-876-1733
Practice Fax: 702-878-2018
1710979356 — MR. ROBERT MICHAEL WOLINSKY PT
Practice Location Address:
3831 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1859
Practice Phone: 702-876-1733
Practice Fax: 702-878-2018
1861504193 — MR. MATTHEW RANDALL FREHNER P.T.
Practice Location Address:
3831 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1859
Practice Phone: 702-876-1733
Practice Fax: 702-878-2018
1083847719 — PHILLIP DIMOTSANTOS
Practice Location Address:
3831 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1859
Practice Phone: 702-876-1733
Practice Fax: 702-878-2018
1235435710 — BROOK BRADFORD CORBITT PT
Practice Location Address:
3831 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1859
Practice Phone: 702-876-1733
Practice Fax: 702-878-2018

Directions to “ MR. BERNE M LEAVITT SR. PT” 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 © 2007-2025 (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.