Individual provider Active NPI

Darwin Lucas Exequiel Tenorio Donaldo, MOT, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1003609462
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3419 Issued in NV
Practice address
2580 Montessouri St Ste 101
Las Vegas, NV 89117-3065
Phone
(716) 807-4179
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 OT-3419 NV Primary

Addresses

Primary practice location

2580 Montessouri St Ste 101
Las Vegas, NV 89117-3065

Mailing address

6650 W Warm Springs Rd Unit 2109
Las Vegas, NV 89118-4619
Phone (702) 415-1376

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-3419NVMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1003609462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W WARM SPRINGS RD UNIT 2109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184619",
            "telephone_number": "702-415-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 MONTESSOURI ST STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173065",
            "telephone_number": "716-807-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDO",
        "first_name": "DARWIN LUCAS EXEQUIEL",
        "middle_name": "TENORIO",
        "name_prefix": "Mr.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 27, 2025; 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.