Individual provider Active NPI

Leslie Nguyen

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1033997168
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2877 Issued in NV
Practice address
309 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7076
Phone
(702) 550-2839
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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-2877 NV Primary

Addresses

Primary practice location

309 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7076

Mailing address

309 W Lake Mead Pkwy Ste 100
Henderson, NV 89015-7076
Phone (702) 550-2839

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
OT-2877NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pediatric Therapy LLC Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1820 E Warm Springs Rd
Ste 130
Las Vegas, NV 89119

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1033997168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W LAKE MEAD PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157076",
            "telephone_number": "702-550-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W LAKE MEAD PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157076",
            "telephone_number": "702-550-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.