Active NPI
Emily Pridgeon
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1043611262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16-0794
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5460 | AZ | MD | Chiropractor |
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.