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

Derek D. Ronnebaum

Individual provider Physical Therapist · NPI 1245670975

Derek D. Ronnebaum is a Physical Therapist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2013.

Licensed in
NV
In the registry since
2013

Practice location Address checks out

8751 W Charleston Blvd #270
Las Vegas, NV 89117-5480
Phone: (702) 982-2232
Fax: (702) 982-2237
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2838 (NV)

Record details

NPI number1245670975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 26, 2013

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