ORIGIN PHYSICAL THERAPY PLLC
NPI 1790351088
Clinic/Center - Physical Therapy in Las Vegas, NV
About Origin Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORIGIN PHYSICAL THERAPY PLLC (NPI 1790351088), doing business as Origin Physical Therapy, is a healthcare organization registered as a physical therapy in Las Vegas, Nevada and active in the NPI registry since May 2021. The organization lists Anthony Ray Tabor, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Origin Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Origin Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Origin Physical Therapy PLLC's NPI number?
The NPI number for Origin Physical Therapy PLLC is 1790351088. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Origin Physical Therapy.
Where is Origin Physical Therapy PLLC located?
Origin Physical Therapy PLLC is located at 6480 S Tenaya Way Ste 100, Las Vegas, NV 89113. The listed phone number is (702) 623-8555.
What is Origin Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Origin Physical Therapy PLLC enrolled in Medicare?
Yes. Origin Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
When is Origin Physical Therapy PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Origin Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Origin Physical Therapy PLLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Origin Physical Therapy PLLC accept?
Health plans from Molina Healthcare list Origin Physical Therapy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Origin Physical Therapy PLLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Origin Physical Therapy Pllc · NPI 1790351088
Physical Therapy organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since May 27, 2021.
## Identity
- **NPI:** 1790351088 (Entity type: Organization)
- **Enumerated:** May 27, 2021
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Also known as:** ORIGIN PHYSICAL THERAPY (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Anthony Tabor, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 6480 S TENAYA WAY STE 100, Las Vegas, NV 89113-6655
- **Phone:** (702) 623-8555 · **Fax:** (702) 623-8545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Nevada, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790351088) · Data from the CMS NPPES public registry.