Individual provider · Type 1 NPI

Kristin Marie Maccanico, LPTA

Physical Therapy Assistant · Las Vegas, NV

NPI number 1144514563 Active

Practice location

2150 S Eastern Ave
Las Vegas, NV 89104-4109

Fax (702) 207-0357

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	8183 (MA)
Homemaker	376J00000X	None listed
Personal Care Attendant	3747P1801X	None listed
Attendant Care Provider	3747A0650X	None listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1144514563

Kristin Marie Maccanico, LPTA's National Provider Identifier is 1144514563, issued on Jun 2, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 18, 2025.