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

Tavin Glenn Fox, PT, DPT

Individual provider Physical Therapist · NPI 1114592599

Tavin Glenn Fox, PT, DPT is a Physical Therapist in Private Practice in Henderson, Nevada. Qualified in 2021, 5 years ago. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

129 W Lake Mead Pkwy Ste 2
Henderson, NV 89015-7055
Phone: (702) 564-6712
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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 4544 (NV)

Record details

NPI number1114592599
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address685 Lucky Pine St, Henderson, NV 89002-3300

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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