Provider Demographics
NPI:1356498620
Name:PARAGON OUTPATIENT THERAPY SERVICES
Entity Type:Organization
Organization Name:PARAGON OUTPATIENT THERAPY SERVICES
Other - Org Name:PARAGON HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:SPEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-914-2790
Mailing Address - Street 1:1231 E BASIN AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-4601
Mailing Address - Country:US
Mailing Address - Phone:775-537-2300
Mailing Address - Fax:775-537-2345
Practice Address - Street 1:1701 N GREEN VALLEY PKWY # 8
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5885
Practice Address - Country:US
Practice Address - Phone:702-914-2790
Practice Address - Fax:702-914-5984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty