Elite Occupational Therapy Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

15-0610 Issued in NV

Legal business name

ELITE OCCUPATIONAL THERAPY SERVICES

Practice address

8174 Las Vegas Blvd S
Suite 109-1250
Las Vegas, NV 89123-1029

Phone

(408) 466-4294

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Poon, MSOTNPI 1902279375

Title

Occupational Therapist

Phone

(408) 466-4294

Specialties & licenses 1

Addresses

Locations

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.

• Tiffany Poon

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1902279375
  NPD (past) Authorized official

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1073986832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ABUNDANCE RIDGE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125496",
            "telephone_number": "408-466-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8174 LAS VEGAS BLVD S",
            "address_2": "SUITE 109-1250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231029",
            "telephone_number": "408-466-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE OCCUPATIONAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "POON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "408-466-4294",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "15-0610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Early Intervention Provider Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.