Organization Active NPI

Ocealis Aesthetic, LLC

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1053289439
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OCEALIS AESTHETIC, LLC
Practice address
10409 Pacific Palisades Ave
Las Vegas, NV 89144-1221
Phone
(702) 623-5172
NPI assigned
Oct 27, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Brynn Nikelen Butzman, OTD, OTR/L, CCSTNPI 1942843958
Title
Owner
Phone
(702) 623-5172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

10409 Pacific Palisades Ave
Las Vegas, NV 89144-1221

Mailing address

10409 Pacific Palisades Ave
Las Vegas, NV 89144-1221
Phone (702) 623-5172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1053289439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 PACIFIC PALISADES AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441221",
            "telephone_number": "702-623-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 PACIFIC PALISADES AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441221",
            "telephone_number": "702-623-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEALIS AESTHETIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "BUTZMAN",
        "authorized_official_first_name": "BRYNN",
        "authorized_official_middle_name": "NIKELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-623-5172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L, CCST"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 27, 2025; 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.