Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gavin E Watabayashi, DPT

Individual provider Physical Therapy Assistant · NPI 1659100485

Gavin E Watabayashi, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1845 Village Center Cir
Las Vegas, NV 89134-6369
Phone: (702) 723-9006
Fax: (702) 664-0466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6485 (NV)

Record details

NPI number1659100485
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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