Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ortho Sport and Spine Physicians Las Vegas

Organization Physical Medicine & Rehabilitation Physician · NPI 1629651096

Ortho Sport and Spine Physicians Las Vegas is a Physical Medicine & Rehabilitation Physician in Henderson, Nevada. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2625 Wigwam Pkwy Ste 102
Henderson, NV 89074-7326
Phone: (678) 752-7246
Fax: (770) 234-5326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1629651096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ra'Keshia Brogdon — Credentialing Specialist · (404) 941-1233
NPI enumeratedMay 3, 2021
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address5788 Roswell Rd, Atlanta, GA 30328-4904

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