CANYON LAKE PHYSICAL THERAPY LLC
NPI 1255945044
Clinic/Center - Physical Therapy in Las Vegas, NV

Active since August 31, 2020
2980 S JONES BLVD STE F, LAS VEGAS, NV 89146(702) 256-2225 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2020, Aug 31, 2020 (2 updates tracked since 2020).

About Canyon Lake Physical Therapy Llc NPPES

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

CANYON LAKE PHYSICAL THERAPY LLC (NPI 1255945044) is a healthcare organization registered as a physical therapy in Las Vegas, Nevada and active in the NPI registry since August 2020. The organization lists Eric Klein, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1255945044
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameCANYON LAKE PHYSICAL THERAPY LLC
Location Address2980 S JONES BLVD STE FLas Vegas, NV 89146-5657
Mailing Address2980 S Jones Blvd Ste FLas Vegas, NV 89146-5657 · (702) 256-2225
Organization SubpartNo
Authorized OfficialEric KleinPhysical Therapist · (702) 375-0405
Enumeration DateAugust 31, 2020
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1255945044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
2980 S JONES BLVD STE F, Las Vegas, NV 89146

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon Lake Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Canyon Lake Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1922624709
2980 S JONES BLVD STE F
Las Vegas, NV 89146
(702) 256-2225
✔ Accepts MedicareSame address

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

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 Canyon Lake Physical Therapy LLC's NPI number?

The NPI number for Canyon Lake Physical Therapy LLC is 1255945044. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Canyon Lake Physical Therapy LLC located?

Canyon Lake Physical Therapy LLC is located at 2980 S Jones Blvd Ste F, Las Vegas, NV 89146. The listed phone number is (702) 256-2225.

What is Canyon Lake Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Canyon Lake Physical Therapy LLC enrolled in Medicare?

Yes. Canyon Lake Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canyon Lake Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Canyon Lake Physical Therapy LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Canyon Lake Physical Therapy LLC was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.