Provider Demographics
NPI:1093141038
Name:DON NOBIS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DON NOBIS A PROFESSIONAL CORPORATION
Other - Org Name:DBA PROGRESSIVE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:NOBIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:702-735-4844
Mailing Address - Street 1:801 S RANCHO DR
Mailing Address - Street 2:#F4
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3854
Mailing Address - Country:US
Mailing Address - Phone:702-735-4844
Mailing Address - Fax:702-735-8851
Practice Address - Street 1:801 S RANCHO DR
Practice Address - Street 2:#F4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3854
Practice Address - Country:US
Practice Address - Phone:702-735-4844
Practice Address - Fax:702-735-8851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty