TAVIN GLENN FOX PT, DPT
NPI 1114592599
Physical Therapist in Henderson, NV

Active since May 26, 2021
129 W LAKE MEAD PKWY STE 2, HENDERSON, NV 89015(702) 564-6712 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tavin Glenn Fox Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAVIN GLENN FOX PT, DPT (NPI 1114592599) is an individual physical therapist in Henderson, Nevada, licensed in Nevada (4544) and active in the NPI registry since May 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1114592599
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTAVIN GLENN FOXCredential: PT, DPT
Location Address129 W LAKE MEAD PKWY STE 2Henderson, NV 89015-7055
Mailing Address685 Lucky Pine StHenderson, NV 89002-3300 · (702) 575-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1114592599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NV · 4544
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
129 W LAKE MEAD PKWY STE 2, Henderson, NV 89015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tavin Glenn Fox Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981007846
PECOS Enrollment IDI20210729002079

Medicare Billing Reassignment

Medicare enrollment records show Tavin Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1311 S BOULDER HWY STE 120
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
129 W LAKE MEAD PKWY STE 2
HENDERSON, NV 89015
Physical Therapist
129 W LAKE MEAD PKWY STE 2
HENDERSON, NV 89015
Physical Therapist
129 W LAKE MEAD PKWY STE 2
HENDERSON, NV 89015
Physical Therapist
129 W LAKE MEAD PKWY STE 2
HENDERSON, NV 89015
Acupuncturist
129 W LAKE MEAD PKWY STE 2
HENDERSON, NV 89015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tavin Fox's NPI number?

The NPI number for Tavin Fox is 1114592599. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Tavin Fox located?

Tavin Fox practices at 129 W Lake Mead Pkwy Ste 2, Henderson, NV 89015. The listed phone number is (702) 564-6712.

What is Tavin Fox's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tavin Fox enrolled in Medicare?

Yes. Tavin Fox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tavin Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tavin Fox reassigns Medicare benefits to Rtp Physical Therapy, LLC (Henderson, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tavin Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tavin Fox was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.