Active NPI
Brooke Dena Conway-Kleven, PT, DPT, PHDC
- Physical Therapist
- Henderson, NV
National Provider Identifier
1770068058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3766
- Practice address
- 170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145 - Phone
- (775) 720-2600
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3766 | NV | Primary |
Addresses
Primary practice location
170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145
Mailing address
170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145
Other practice location 1
1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone (702) 732-1493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3766 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1770068058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 S GREEN VALLEY PKWY STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 S GREEN VALLEY PKWY STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123145",
"telephone_number": "775-720-2600"
}
],
"practiceLocations": [
{
"address_1": "1 Breakthrough Way",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891353011",
"country_code": "US",
"telephone_number": "702-732-1493",
"fax_number": "702-732-1080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONWAY-KLEVEN",
"first_name": "BROOKE",
"middle_name": "DENA",
"name_prefix": "Dr.",
"credential": "PT, DPT, PHDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.