NPIMap

Organization Active NPI

My Left Foot Children's Therapy, LLC.

Doing business as My Left Foot Children's Therapy

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1043667645
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MY LEFT FOOT CHILDREN'S THERAPY, LLC.
Doing business as
My Left Foot Children's Therapy
Practice address
2012 S Jones Blvd
Las Vegas, NV 89146-3151
Phone
(702) 360-1137
Fax
(702) 341-1511
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Jon Gottlieb
Title
Coo
Phone
(702) 360-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2012 S Jones Blvd
Las Vegas, NV 89146-3151

Mailing address

3395 S Jones Blvd # 363
Las Vegas, NV 89146-6729
Phone (702) 360-1137

Other names 1

  • My Left Foot Children's Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Left Foot Children's Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4385 N Pecos Rd
Ste 170
Las Vegas, NV 89115

8826 S Eastern Ave
Ste 115
Las Vegas, NV 89123
Phone (702) 497-3480

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1043667645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S JONES BLVD # 363",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-360-1137",
            "fax_number": "702-240-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463151",
            "telephone_number": "702-360-1137",
            "fax_number": "702-341-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LEFT FOOT CHILDREN'S THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-360-1137"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Left Foot Children's Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2016; 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.