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

Jessica Lactaotao, DPT

Individual provider Physical Therapist · NPI 1619782919

Jessica Lactaotao, DPT is a Physical Therapist in Private Practice in Henderson, Nevada. Qualified in 2024, 2 years ago. Practices with Dignity Select Nevada LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2025
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

400 N Stephanie St Ste 310
Henderson, NV 89014-6608
Phone: (702) 454-1162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6644 (NV)

Record details

NPI number1619782919
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

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)
Group practice Dignity Select Nevada Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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