Organization Active NPI

Connexpace LLC

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1144097593
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CONNEXPACE LLC
Practice address
1128 Aspen Cliff Dr
Henderson, NV 89011-2538
Phone
(202) 213-9222
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Marieliz Llanos, OTD, MHPEDM OTR/L
Title
Occupational Therapist/Owner
Phone
(202) 213-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1128 Aspen Cliff Dr
Henderson, NV 89011-2538

Mailing address

1128 Aspen Cliff Dr
Henderson, NV 89011-2538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1144097593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 ASPEN CLIFF DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 ASPEN CLIFF DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112538",
            "telephone_number": "202-213-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEXPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "LLANOS",
        "authorized_official_first_name": "MARIELIZ",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "202-213-9222",
        "authorized_official_credential": "OTD, MHPEDM OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.