Brent Boardman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5177 Issued in NV

Practice address

1365 Medical Pkwy
Carson City, NV 89703-4653

Phone

(775) 786-3040

Fax

(775) 788-5254

NPI assigned

Jun 12, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA, NV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reno Orthopaedic Clinic LTDGroup PAC ID 2567355316, 96 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as apm

Quality

81.42

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbroadman198377@direct.renown.org

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.

• Reno Orthopaedic Clinic, LTD

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1245228972

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Lincoln Outpatient Therapy Services

  • Rehabilitation Clinic/Center
  • Ruston, LA
  • NPI 1407825060

  LA

  Medicare reassignment
• Reno Orthopaedic Clinic, LTD

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1245940592

  Physical Therapist

  NPD
• Reno Orthopaedic Clinic, LTD

  • Orthopaedic Surgery Physician
  • Fernley, NV
  • NPI 1619839727

  Physical Therapist

  NPD
• Integrated Joint Specialists LLC

  • Clinic/Center
  • Tigard, OR
  • NPI 1336704071
  NPD (past)
• Jackson Parish Therapy Center LLC

  • Physical Therapist
  • Ruston, LA
  • NPI 1891794491
  NPD (past)
• Jesse L Wied PT Physical Therapy Clinic Inc

  • Physical Therapist
  • Monroe, LA
  • NPI 1538101902
  NPD (past)
• Richland Therapy Services, LLC

  • Occupational Therapist
  • Rayville, LA
  • NPI 1831173657

  Physical Therapist

  NPD (past)
• Winnsboro Physical Therapy, Inc

  • Physical Therapist
  • Winnsboro, LA
  • NPI 1053359083
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1871535807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034723",
            "telephone_number": "775-786-3040",
            "fax_number": "775-786-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034653",
            "telephone_number": "775-786-3040",
            "fax_number": "775-788-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDMAN",
        "first_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11488871",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbroadman198377@direct.renown.org",
            "affiliation": "N",
            "address_1": "1365 Medical Pkwy",
            "city": "Carson City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "897034653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Austin Lee Blystone
• Derek Bobst, APRN
• Rebekah Bock, LCSW
• Stephen Ross Bodine, PT, DPT
• Body and Mind Health Partners
• Boehme Dentists of Carson City, PC

• Physical Therapist in Carson City, NV
• Providers in Carson 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 Aug 4, 2023; 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.