Ortho Sport and Spine Physicians Las Vegas
NPI 1629651096 · Physical Medicine & Rehabilitation Physician · Henderson, NV
Ortho Sport and Spine Physicians Las Vegas is a Physical Medicine & Rehabilitation Physician organization in Henderson, NV (NPI 1629651096).
Provider details
- NPI number
- 1629651096
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ra'Keshia Brogdon, Credentialing Specialist(404) 941-1233
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-05-03
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Frequently asked questions
- What is Ortho Sport and Spine Physicians Las Vegas's NPI number?
- Ortho Sport and Spine Physicians Las Vegas's National Provider Identifier (NPI) is 1629651096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ortho Sport and Spine Physicians Las Vegas?
- Ortho Sport and Spine Physicians Las Vegas is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ortho Sport and Spine Physicians Las Vegas located?
- Ortho Sport and Spine Physicians Las Vegas's practice location on file with NPPES is 2625 Wigwam Pkwy Ste 102, Henderson, NV 89074-7326.
- What is Ortho Sport and Spine Physicians Las Vegas's phone number?
- The practice phone number listed in the NPPES registry for Ortho Sport and Spine Physicians Las Vegas is (678) 752-7246.
- Who is the authorized official for Ortho Sport and Spine Physicians Las Vegas?
- The authorized official listed on Ortho Sport and Spine Physicians Las Vegas's NPPES record is Ra'Keshia Brogdon, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ortho Sport and Spine Physicians Las Vegas's NPI active?
- Yes — Ortho Sport and Spine Physicians Las Vegas's NPI (1629651096) is active in the NPPES registry as of the last update on 2023-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.