Organization
ORIGIN PHYSICAL THERAPY PLLC
Active
Other names
ORIGIN PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RAY TABOR DPT (DIRECTOR OF OPERATIONS)
(702) 623-8555
Entity
Organization
Contact information
Practice address
6480 S TENAYA WAY STE 100, LAS VEGAS, NV 89113-6655
(702) 623-8555
(702) 623-8545
Mailing address
6480 S TENAYA WAY STE 100, LAS VEGAS, NV 89113-6655
(702) 623-8555
(702) 623-8545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
10/21/2025
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