BROBERG PHYSICAL THERAPY LV LLC
NPI 1417798281
Physical Therapist - Orthopedic in Las Vegas, NV
About Broberg Physical Therapy Lv Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROBERG PHYSICAL THERAPY LV LLC (NPI 1417798281) is a healthcare organization registered as an orthopedic in Las Vegas, Nevada and active in the NPI registry since June 2024. The organization lists Wayne Broberg, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broberg Physical Therapy Lv Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Broberg Physical Therapy Lv LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Broberg Physical Therapy Lv LLC's NPI number?
The NPI number for Broberg Physical Therapy Lv LLC is 1417798281. It was assigned to this organization in the NPPES registry on June 4, 2024.
Where is Broberg Physical Therapy Lv LLC located?
Broberg Physical Therapy Lv LLC is located at 10080 W Tropicana Ave Ste 164, Las Vegas, NV 89147. The listed phone number is (408) 202-2011.
What is Broberg Physical Therapy Lv LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Broberg Physical Therapy Lv LLC enrolled in Medicare?
Yes. Broberg Physical Therapy Lv LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broberg Physical Therapy Lv LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Broberg Physical Therapy Lv LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Broberg Physical Therapy Lv LLC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Broberg Physical Therapy Lv Llc · NPI 1417798281
Orthopedic organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since June 4, 2024.
## Identity
- **NPI:** 1417798281 (Entity type: Organization)
- **Enumerated:** June 4, 2024
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Wayne Broberg, OWNER
## Practice location
- **Address:** 10080 W TROPICANA AVE STE 164, Las Vegas, NV 89147-8464
- **Phone:** (408) 202-2011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417798281) · Data from the CMS NPPES public registry.