Derek Ronnebaum
NPI 1245670975 · Physical Therapist · Las Vegas, NV
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Ronnebaum is a Physical Therapist provider in Las Vegas, NV (NPI 1245670975).
Provider details
- NPI number
- 1245670975
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2838 (NV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-26
- Last updated
- 2013-06-26
Frequently asked questions
- What is Derek Ronnebaum's NPI number?
- Derek Ronnebaum's National Provider Identifier (NPI) is 1245670975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Ronnebaum's specialty?
- Derek Ronnebaum is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derek Ronnebaum located?
- Derek Ronnebaum's practice location on file with NPPES is 8751 W Charleston Blvd, Las Vegas, NV 89117-5480.
- What is Derek Ronnebaum's phone number?
- The practice phone number listed in the NPPES registry for Derek Ronnebaum is (702) 982-2232.
- Does Derek Ronnebaum accept Medicare?
- Derek Ronnebaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Ronnebaum's NPI active?
- Yes — Derek Ronnebaum's NPI (1245670975) is active in the NPPES registry as of the last update on 2013-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.