Provider Demographics
NPI:1063858405
Name:ART OF THERAPY LLC
Entity Type:Organization
Organization Name:ART OF THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-816-4500
Mailing Address - Street 1:9484 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-8339
Mailing Address - Country:US
Mailing Address - Phone:702-816-4500
Mailing Address - Fax:702-816-4502
Practice Address - Street 1:9484 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE # 8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-8339
Practice Address - Country:US
Practice Address - Phone:702-816-4500
Practice Address - Fax:702-816-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2278P1005X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV294513Medicare Oscar/Certification