MAXICARE THERAPY AND WELLNESS OF NEVADA
NPI 1376175786
Physical Therapist in Las Vegas, NV

Active since February 04, 2020
4510 S EASTERN AVE STE 5, LAS VEGAS, NV 89119(702) 381-6053(702) 987-0199 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2022, Mar 17, 2021, Feb 4, 2020 (3 updates tracked since 2020).

About Maxicare Therapy And Wellness Of Nevada NPPES

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

MAXICARE THERAPY AND WELLNESS OF NEVADA (NPI 1376175786) is a healthcare organization registered as a physical therapist in Las Vegas, Nevada and active in the NPI registry since February 2020. The organization maintains a secondary practice location in Las Vegas and lists Jose Gorgonia Tiu, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1376175786
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameMAXICARE THERAPY AND WELLNESS OF NEVADA
Location Address4510 S EASTERN AVE STE 5Las Vegas, NV 89119-6118
Mailing Address4510 S Eastern Ave Ste 5Las Vegas, NV 89119-6118 · (702) 381-6053 · Fax (702) 987-0199
Fax(702) 987-0199
Organization SubpartNo
Authorized OfficialJose Gorgonia TiuPhysical Therapist · (702) 381-6053
Enumeration DateFebruary 4, 2020
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1376175786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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.
Also ListedPhysical Therapist · CardiopulmonaryTaxonomy 2251C2600X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
4510 S EASTERN AVE STE 5, Las Vegas, NV 89119

Other Names 1

Doing Business AsMaxicare Therapy And Wellness Of Nevada

Secondary Practice Location 1

Location 14510 S Eastern Ave Ste 9Las Vegas, NV 89119-6118 · Phone (702) 381-6053 · Fax (702) 987-0199

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxicare Therapy And Wellness Of Nevada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Maxicare Therapy And Wellness Of Nevada, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Occupational Therapist in Private Practice
NPI 1366809444
4510 S EASTERN AVE STE 5
Las Vegas, NV 89119
(956) 708-3985
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1023887932
4510 S EASTERN AVE STE 5-7
Las Vegas, NV 89119
(702) 381-6053
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1629427745
4510 S EASTERN AVE STE 9
Las Vegas, NV 89119
(847) 471-2436
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1952602674
4510 S EASTERN AVE STE 5
Las Vegas, NV 89119
(702) 673-3848
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1548206790
4855 BLUE DIAMOND RD STE 210
Las Vegas, NV 89139
(725) 207-3770
✔ Accepts Medicare7.1 mi
Occupational Therapist in Private Practice
NPI 1992225593
4755 S 48TH ST
Tacoma, WA 98409
(253) 475-4611
✔ Accepts Medicare856 mi
Physical Therapist in Private Practice
NPI 1770126856
825 WHITING AVE
Stevens Point, WI 54481
(715) 346-1374
✔ Accepts Medicare1,461 mi
Physical Therapist in Private Practice
NPI 1831694017
7345 WOODLAND DR STE C
Indianapolis, IN 46278
(317) 286-2885
✔ Accepts Medicare1,589 mi
Physical Therapist in Private Practice
NPI 1568214377
MARIANAS HEALTH LLC BUILDING SUITE 102 GHIYEGHI ST. SAN JOSE
Saipan, MP 96950
(670) 233-4646
✔ Accepts Medicare

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 Maxicare Therapy And Wellness Of Nevada's NPI number?

The NPI number for Maxicare Therapy And Wellness Of Nevada is 1376175786. It was assigned to this organization in the NPPES registry on February 4, 2020.

Where is Maxicare Therapy And Wellness Of Nevada located?

Maxicare Therapy And Wellness Of Nevada is located at 4510 S Eastern Ave Ste 5, Las Vegas, NV 89119. The listed phone number is (702) 381-6053.

What is Maxicare Therapy And Wellness Of Nevada's specialty?

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

Is Maxicare Therapy And Wellness Of Nevada enrolled in Medicare?

Yes. Maxicare Therapy And Wellness Of Nevada is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maxicare Therapy And Wellness Of Nevada?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Maxicare Therapy And Wellness Of Nevada. 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. The largest specialties are Physical Therapist in Private Practice (5) and Occupational Therapist in Private Practice (4). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maxicare Therapy And Wellness Of Nevada was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.