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

Individual provider Physical Therapist · NPI 1487485595

Enobong Tarela Archibong, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Dignity Select Nevada LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110
Phone: (702) 240-2952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6515 (NV)

Record details

NPI number1487485595
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 10, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dignity Select Nevada Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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