Active NPI
Japheth Maico, OTD, OTR-L
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1104542257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 6623 Topley Pike Ave
Las Vegas, NV 89139-5391 - Phone
- (626) 818-6947
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Mental Health Occupational Therapist | 225XM0800X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
6623 Topley Pike Ave
Las Vegas, NV 89139-5391
Mailing address
6623 Topley Pike Ave
Las Vegas, NV 89139-5391
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1104542257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6623 TOPLEY PIKE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891395391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6623 TOPLEY PIKE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891395391",
"telephone_number": "626-818-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAICO",
"first_name": "JAPHETH",
"name_prefix": "Dr.",
"credential": "OTD, OTR-L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"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 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.