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

Kristin Marie Maccanico, LPTA

Individual provider Physical Therapy Assistant · NPI 1144514563

Kristin Marie Maccanico, LPTA is a Physical Therapy Assistant in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
Specialties on file
4

Practice location Address checks out

2150 S Eastern Ave
Las Vegas, NV 89104-4109
Phone: (702) 207-0842
Fax: (702) 207-0357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8183 (MA)
Homemaker Taxonomy 376J00000X
Personal Care Attendant Taxonomy 3747P1801X
Attendant Care Provider Taxonomy 3747A0650X

Record details

NPI number1144514563
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedJune 2, 2011
Last updated in NPPESOctober 18, 2025
Certification dateOctober 18, 2025

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