Brandon Wingenbach, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

806 Buchanan Blvd Ste 103
Boulder City, NV 89005-2130

Phone

(702) 246-2787

NPI assigned

Jun 27, 2025

Sex

Male

Sole proprietor

Yes

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

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Physical TherapyGroup PAC ID 1951453075, 47 clinicians

Brandon Jackson P TGroup PAC ID 2961480363, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Affiliated Physical Therapy

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1669607156
  Medicare reassignment Care Compare group NPD
• Brandon Jackson, P T

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1487682076
  Medicare reassignment Care Compare group NPD
• Brandon Jackson PT

  • Sports Physical Therapist
  • Las Vegas, NV
  • NPI 1205266764
  NPD (past)
• Therapy West LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1972168540
  NPD (past)

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1508755331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W HORIZON RIDGE PKWY UNIT 4504",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125217",
            "telephone_number": "626-241-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BUCHANAN BLVD STE 103",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052130",
            "telephone_number": "702-246-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGENBACH",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael West
• Walter Iven West
• Aaron White
• Breanna Williams
• Dusty Mahealani Willis, LPN
• Winning Solutions Healthcare LLC
• Matthew Wittwer
• Morgan Samantha Wixom
• Brian Wolff
• Jacquelynn Wolff

• Physical Therapist in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.