Brenton John Grant, MPT BHSC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4522 Issued in NV

Practice address

1395 Raiders Way Ste 140
Henderson, NV 89052-4615

Phone

(725) 241-6800

NPI assigned

Dec 1, 2021

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dignity Select Nevada LLC

  dba Select Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1619435997

  Orthopedic

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1285392712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 N BUFFALO DR UNIT 2237",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284901",
            "telephone_number": "702-374-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 RAIDERS WAY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524615",
            "telephone_number": "725-241-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 Blue Diamond Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397602",
            "country_code": "US",
            "telephone_number": "725-207-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BRENTON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MPT BHSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "4522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan M Grange
• Granillo Speech Pathology, PLLC (Speech Patherapy)
• Kelli Lynn Granillo, M.S. CCC/SLP
• Andrew Grant
• Antwanette Grant, QBA
• Christina Epiphany Grant, RBT
• Claudette Grant
• Douglas E Grant, PH.D.
• Emma Renee Grant, RBT
• Jennifer Grant, APRN

• Orthopedic Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Orthopedic Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.