Active NPI
Jennifer C Travers, OTR/L
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1003887241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10523
- Practice address
- 3030 S Jones Blvd
Suite 105
Las Vegas, NV 89146-6792 - Phone
- (702) 360-1137
- Fax
- (702) 341-1511
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10523 | FL | Primary |
Addresses
Primary practice location
3030 S Jones Blvd
Suite 105
Las Vegas, NV 89146-6792
Mailing address
3030 S Jones Blvd
Suite 105
Las Vegas, NV 89146-6792
Phone (702) 360-1137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y902F | Other | FL | BCBS |
| 887439500 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT10523 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Left Foot Children'S Therapy, LLC. | Past | Accepting new patients | |
| My Left Foot Children'S Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Las Vegas, NV
- NPI 1497810576
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1043667645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1003887241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466792",
"telephone_number": "702-360-1137",
"fax_number": "702-341-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466792",
"telephone_number": "702-360-1137",
"fax_number": "702-341-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERS",
"first_name": "JENNIFER",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y902F",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887439500",
"state": "FL"
}
],
"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 Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.