Akw

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10-0067 Issued in NV

Legal business name

AKW

Practice address

491 Donavista CT
Henderson, NV 89052-2646

Phone

(702) 469-4429

NPI assigned

Oct 10, 2012

Last updated

Oct 19, 2012By 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

Ashley Wiener

Title

OT

Phone

(702) 469-4429

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1124370408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 DONAVISTA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 DONAVISTA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522646",
            "telephone_number": "702-469-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "702-469-4429"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "10-0067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.