Brittany Ronnebaum, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2835 Issued in NV

Practice address

4215 S Grand Canyon Dr Ste 101
Las Vegas, NV 89147-7173

Phone

(702) 448-6042

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brittany Hanna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lymphedema and Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1689483455
  NPD Authorized official

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1386083509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 LAGUNILLA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494730",
            "telephone_number": "702-580-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S GRAND CANYON DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477173",
            "telephone_number": "702-448-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNEBAUM",
        "first_name": "BRITTANY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HANNA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danais Rondon
• Jazmin Rondon
• Roxana Rondon
• Ronette Cyka, M.D., LTD
• Katie Marie Ronis, PHARMD
• Derek D. Ronnebaum
• Alex Ronquillo
• Betty Ronquillo
• Desiree Ronquillo
• Caitlyn Rood

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.