Individual provider Active NPI

Alicia Marie Schwarz, OTR

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1003030339
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0615 Issued in NV
Practice address
1525 E Windmill LN
#202
Las Vegas, NV 89123-1902
Phone
(702) 434-6920
Fax
(702) 361-8596
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0615 NV Primary

Addresses

Primary practice location

1525 E Windmill LN
#202
Las Vegas, NV 89123-1902

Mailing address

848 N Rainbow Blvd
#357
Las Vegas, NV 89107-1103
Phone (702) 256-9738

Other identifiers 1

IdentifierTypeStateIssuer
1003030339MedicaidNV

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

LicenseStateTypeSpecialty
0615NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1003030339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N RAINBOW BLVD",
            "address_2": "#357",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071103",
            "telephone_number": "702-256-9738",
            "fax_number": "702-242-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E WINDMILL LN",
            "address_2": "#202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231902",
            "telephone_number": "702-434-6920",
            "fax_number": "702-361-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "0615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003030339",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.