Organization
ORIGIN PHYSICAL THERAPY PLLC
Active
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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