Sports Medicine Rehabilitation
NPI 1558397059 · Specialist · Henderson, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Medicine Rehabilitation is a Specialist organization in Henderson, NV (NPI 1558397059).
Provider details
- NPI number
- 1558397059
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Casiano Flaviano, President(702) 837-4397
- License
- 9976 (NV)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Family Wellness Clinic
- Doing business as
- Family Wellness Clinic
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Frequently asked questions
- What is Sports Medicine Rehabilitation's NPI number?
- Sports Medicine Rehabilitation's National Provider Identifier (NPI) is 1558397059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Medicine Rehabilitation?
- Sports Medicine Rehabilitation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Sports Medicine Rehabilitation located?
- Sports Medicine Rehabilitation's practice location on file with NPPES is 10001 S Eastern Ave, Henderson, NV 89052-3907.
- What is Sports Medicine Rehabilitation's phone number?
- The practice phone number listed in the NPPES registry for Sports Medicine Rehabilitation is (702) 837-4397.
- Does Sports Medicine Rehabilitation accept Medicare?
- Sports Medicine Rehabilitation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sports Medicine Rehabilitation?
- The authorized official listed on Sports Medicine Rehabilitation's NPPES record is Casiano Flaviano, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Medicine Rehabilitation's NPI active?
- Yes — Sports Medicine Rehabilitation's NPI (1558397059) is active in the NPPES registry as of the last update on 2020-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.