Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxicare Therapy and Wellness of Nevada

Organization Physical Therapist · NPI 1376175786

Maxicare Therapy and Wellness of Nevada is a Physical Therapist in Las Vegas, Nevada. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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Practice location Address checks out

4510 S Eastern Ave Ste 5
Las Vegas, NV 89119-6118
Phone: (702) 381-6053
Fax: (702) 987-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4510 S Eastern Ave Ste 9, Las Vegas, NV 89119-6118 — (702) 381-6053

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X
Orthopedic Physical Therapist Taxonomy 2251X0800X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X
Pulmonary Rehabilitation Certified Respiratory Therapist Taxonomy 2278P1005X

Record details

NPI number1376175786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Tiu — Physical Therapist · (702) 381-6053
Other names Maxicare Therapy And Wellness Of Nevada; Maxicare Therapy And Wellness Of Nevada
NPI enumeratedFebruary 4, 2020
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address4510 S Eastern Ave Ste 5, Las Vegas, NV 89119-6118

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