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

Mr. Ted R Vidal II, PTA, LMT

Individual provider Physical Therapy Assistant · NPI 1740998434

Mr. Ted R Vidal II, PTA, LMT is a Physical Therapy Assistant in Las Vegas, Nevada. Works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2022
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2350 Ione Rd
Las Vegas, NV 89183-7943
Phone: (702) 790-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6823 Ponderosa Way, Las Vegas, NV 89118-2100 — (702) 665-4054

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-1516 (NV)
Physical Therapy Assistant Taxonomy 225200000X · Licence 53320 (CA)
Massage Therapist Taxonomy 225700000X · Licence NVMT.5574 (NV)

Record details

NPI number1740998434
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , LMT
Sole proprietorNo
NPI enumeratedNovember 10, 2022
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

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