Broberg Physical Therapy Lv LLC
NPI 1417798281ActiveOrganization· Physical Therapist, Orthopedic· Las Vegas, NV
Physical Therapist, Orthopedic in Las Vegas, Nevada, registered in NPPES in June 2024. The authorized official on file is Wayne Broberg, MPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417798281 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2024 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Jun 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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