Active NPI
Therese Williams
- Occupational Therapy Assistant
- Las Vegas, NV
National Provider Identifier
1104733898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-3648
- Practice address
- 5715 W Alexander Rd Ste 155
Las Vegas, NV 89130-2807 - Phone
- (702) 701-0057
- NPI assigned
- Aug 26, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-3648 | NV | Primary |
Addresses
Primary practice location
5715 W Alexander Rd Ste 155
Las Vegas, NV 89130-2807
Mailing address
5715 W Alexander Rd Ste 155
Las Vegas, NV 89130-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1104733898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 W ALEXANDER RD STE 155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 W ALEXANDER RD STE 155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302807",
"telephone_number": "702-701-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "THERESE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NV",
"license": "OTA-3648",
"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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.