NPIMap

Organization Active NPI

Crescat Therapy Services LLC

  • Occupational Medicine Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1083067318
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
16-0660 Issued in NV
Legal business name
CRESCAT THERAPY SERVICES LLC
Practice address
4056 Autumn St
Las Vegas, NV 89120-1454
Phone
(925) 813-2821
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Kristen Kincaid, OTR/L MOT
Title
Owner
Phone
(925) 813-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 16-0660 NV Primary

Addresses

Primary practice location

4056 Autumn St
Las Vegas, NV 89120-1454

Mailing address

4056 Autumn St
Las Vegas, NV 89120-1454
Phone (925) 813-2821

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1083067318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 AUTUMN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201454",
            "telephone_number": "925-813-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 AUTUMN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201454",
            "telephone_number": "925-813-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCAT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-813-2821",
        "authorized_official_credential": "OTR/L MOT"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NV",
            "license": "16-0660",
            "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 Jul 21, 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.