Individual provider Active NPI

Emily Pridgeon

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1043611262
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16-0794 Issued in NV
Practice address
2832 S Maryland Pkwy
Las Vegas, NV 89109-1502
Phone
(702) 735-5848
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16-0794 NV Primary
Occupational Therapist 225X00000X OT.0007942 CO

Addresses

Primary practice location

2832 S Maryland Pkwy
Las Vegas, NV 89109-1502

Mailing address

8608 Earl Creek St
Las Vegas, NV 89178-2447

Other practice location 1

2945 Casa Vegas St
Las Vegas, NV 89169-2248
Phone (702) 735-7179

Other practice location 2

10201 E 3rd Ave
Aurora, CO 80010-4301
Phone (303) 364-3364

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
5460AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1043611262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 EARL CREEK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091502",
            "telephone_number": "702-735-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Casa Vegas St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891692248",
            "country_code": "US",
            "telephone_number": "702-735-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800104301",
            "country_code": "US",
            "telephone_number": "303-364-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDGEON",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "16-0794",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007942",
            "primary": false
        }
    ],
    "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 Jun 20, 2026; 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.