DR. JOHN LACEDA (DPT) – Physical Therapist, NPI 1043096472

DR. JOHN LACEDA (DPT) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for DR. JOHN LACEDA (DPT) is 1043096472

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN LACEDA (DPT)
NPI
1043096472
Phone
(702) 818-5000
Address
401 N Buffalo Dr Ste 120
Enumeration Date
1 September 2023
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7257267847
Graduation Year
2023 (3 years ago)
PAC ID
2264896703
Group Practice PAC ID
1052731072
Professional Enrollment ID
I20230915002520
Address ID
NV891105384LA727XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

880 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NV

Provider Addresses for DR. JOHN LACEDA (DPT)

  • 401 N Buffalo Dr Ste 120

    Las Vegas, NV 891450397

    Phone: (702) 818-5000

    Fax: (702) 818-5001

    Type: Location

  • 6785 W Russell Rd Ste 110

    Las Vegas, NV 891181862

    Phone: (702) 818-5000

    Fax: (702) 818-5001

    Type: Location

  • 9005 S Pecos Rd Ste 2520

    Henderson, NV 890747191

    Phone: (702) 818-5000

    Fax: (702) 818-5001

    Type: Location

  • 1590 W Sunset Rd Ste 110

    Henderson, NV 890146633

    Phone: (702) 818-5000

    Fax: (702) 818-5001

    Type: Location

  • 3333 STRAWBERRY ROAN RD

    N LAS VEGAS, NV 890322477

    Phone: (702) 630-1354

    Type: Mailing

  • 7121 W CRAIG RD STE 110

    LAS VEGAS, NV 891296023

    Phone: (725) 726-7847

    Fax: (725) 726-7876

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230915002520IPhysical Therapist In Private PracticeNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities50981$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4023$0
97161Evaluation for physical therapy, typically 20 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 89145)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052731072View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeNV
Occupational Therapist In Private PracticeNV

Reviews

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Frequently asked questions

How do payers reference DR. JOHN LACEDA (DPT)?
For DR. JOHN LACEDA (DPT), use NPI 1043096472 as the unique 10-digit identifier.
Would DR. JOHN LACEDA (DPT) appear as active to a payer?
You can treat DR. JOHN LACEDA (DPT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JOHN LACEDA (DPT)?
DR. JOHN LACEDA (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. JOHN LACEDA (DPT) registered?
Use Las Vegas, Nevada as the headline location for DR. JOHN LACEDA (DPT) here.
When was this NPI issued?
Enumeration for DR. JOHN LACEDA (DPT) is noted as September 1, 2023 where the registry provides it.

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