OrganizationActive
Origin Physical Therapy PLLC
NPI 1790351088 · Physical Therapy Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1790351088
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anthony Tabor, Director of Operations(702) 623-8555
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
6480 S Tenaya Way Ste 100
Las Vegas, NV 89113-6655
Phone: (702) 623-8555
Fax: (702) 623-8545
Approximate (ZIP-level) locationGet directions
Mailing address
6480 S Tenaya Way Ste 100
Las Vegas, NV 89113-6655
Other names (DBA / former)
- Doing business as
- Origin Physical Therapy
- Doing business as
- Origin Physical Therapy
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.