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

Individual provider Physical Therapy Assistant · NPI 1164104824

Shane Bueno, PTA is a Physical Therapy Assistant in North las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6900 N Pecos Rd
North las Vegas, NV 89086-4400
Phone: (702) 791-9000
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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 A-0940 (NV)

Record details

NPI number1164104824
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address29 Chastain Park Dr, North Las Vegas, NV 89084-2506

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