Brenton Hevrin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1035 Issued in NV

Practice address

70 E Horizon Ridge Pkwy Ste 180
Henderson, NV 89002-7937

Phone

(702) 856-0422

Fax

(702) 433-0425

NPI assigned

Aug 9, 2017

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)

Not 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.

• Tru Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1740231224
  NPD

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821513086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E HORIZON RIDGE PKWY STE 180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027937",
            "telephone_number": "702-856-0422",
            "fax_number": "702-433-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E HORIZON RIDGE PKWY STE 180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027937",
            "telephone_number": "702-856-0422",
            "fax_number": "702-433-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVRIN",
        "first_name": "BRENTON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard W Hesch Sr., PT
• Hesham Sirsy MD LTD
• Keyvan Heshmati, MD
• Kathryn Hettenbaugh
• Rose A Hettinga, APN
• Udanie Hewapathirana, MD
• Megan Hickman
• Robbin Ann Hickman, PT, DSC, PCS
• David Hicks
• Dijannia Hicks

• Physical Therapy Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.