BRENO T RODRIGUES (NPI# 1386992758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386992758 |
| Entity Type | Individual |
| Full Name | BRENO T RODRIGUES |
| Credential | PT, DPT |
| Practice Address |
2650 N Tenaya Way Las Vegas NV 89128-1102 |
| Practice Telephone | 7022402952 |
| Practice Fax Number | 7022430482 |
| Mailing Telephone | 7022402952 |
| Mailing Fax Number | 7022430482 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2719 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2650 N TENAYA WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746477 | Pr Acquisition Corporation | Clinic/Center | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2006-03-31 |
| 1114493160 | Joseph Weber | Physical Therapist | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2018-10-17 |
| 1043680440 | Southwest Medical Associates, Inc | Clinic/Center | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2015-09-29 |
| 1003297409 | Erin Longhurst | Physical Therapist | 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128-1102 | 2015-06-11 |
| 1790181089 | Nils Jordan | Physical Therapist | 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128-1102 | 2014-11-13 |
| 1528337177 | Lisa M Marciniak | Specialist/Technologist, Other | 2650 N Tenaya Way, #301, Las Vegas, NV 89128-1102 | 2011-12-27 |
| 1245545763 | Eric Learing | Physical Therapist | 2650 N Tenaya Way, 180, Las Vegas, NV 89128-1102 | 2010-08-09 |
| 1821269812 | Pr Acquisition Corporation | Durable Medical Equipment & Medical Supplies | 2650 N Tenaya Way, #180, Las Vegas, NV 89128-1102 | 2008-03-18 |
| 1255511747 | Orthopedic Trauma Specialists, LLP | Orthopaedic Surgery | 2650 N Tenaya Way, #301, Las Vegas, NV 89128-1102 | 2007-11-13 |
| 1255441903 | H Stevenson | Physical Therapy Assistant | 2650 N Tenaya Way, #180, Las Vegas, NV 89128-1102 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437244068 | Richard J Villanueva | Physical Therapist | 2800 E Desert Inn, 200, Las Vegas, NV 89121 | 2006-10-03 |
| 1356357065 | Stanley Yashio Kamimoto | Physical Therapist | 3820 S Jones Blvd, Las Vegas, NV 89103-2454 | 2006-08-01 |
| 1174145858 | Connell Totten | Physical Therapist | 9070 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-8935 | 2020-05-15 |
| 1801420062 | Keelan Siobhan Ohara | Physical Therapist | 8751 W Charleston Blvd Ste 270, Las Vegas, NV 89117-5497 | 2020-02-26 |
| 1770139610 | James Douglas Carr | Physical Therapist | 3820 S Jones Blvd, Las Vegas, NV 89103-2228 | 2019-08-15 |
| 1962981977 | Miriam Evaristo | Physical Therapist | 9070 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-8935 | 2018-08-09 |
| 1184133134 | Krista Lianne Rapozo | Physical Therapist | 2650 N Tenaya Way Ste 180, Las Vegas, NV 89128-1110 | 2017-09-21 |
| 1023533056 | Gareth Akiro Ames | Physical Therapist | 2650 N Tenaya Way Ste 180, Las Vegas, NV 89128-1110 | 2017-08-10 |
| 1679003677 | Aleisha Matsuura | Physical Therapist | 9070 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-8935 | 2017-06-13 |
| 1558724484 | Lyons Physical Therapy LLC | Physical Therapist | 600 S Rancho Dr, 103, Las Vegas, NV 89106-4867 | 2016-03-29 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.