OrganizationActive
Phase 1 Medical, LLC
NPI 1023663572 · Physical Therapy Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1023663572
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Waters, Owner(702) 300-4880
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7770 Dean Martin Dr Ste 307
Las Vegas, NV 89139-6603
Phone: (702) 641-0011
Street-level locationGet directions
Mailing address
7770 Dean Martin Dr Ste 307
Las Vegas, NV 89139-6603
Registry dates
- Enumerated
- 2019-08-01
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.