MEDICARE: NR ORTHOPEDIC AND REHAB, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1477412955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NR ORTHOPEDIC AND REHAB, LLC

Provider Business Mailing Address
First Line	:	7885 W SUNSET RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1996
Country	:	US
Telephone Number	:	702-840-2500
Fax Number	:	725-234-1515

Provider Business Practice Location Address
First Line	:	7885 W SUNSET RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1996
Country	:	US
Telephone Number	:	702-840-2500
Fax Number	:	725-234-1515

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ENEZ MORALES
Credential	:
Telephone Number	:	702-840-2500

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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