Individual provider Active NPI

Amanda Christine Oliver, MSOT, OTR/L

  • Pediatric Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1144819350
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-2654 Issued in NV
Practice address
7541 Tule Springs Rd Unit 150
Las Vegas, NV 89131-8303
Phone
(702) 360-1137
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-2654 NV Primary

Addresses

Primary practice location

7541 Tule Springs Rd Unit 150
Las Vegas, NV 89131-8303

Mailing address

8020 Cracker Barrel St
Las Vegas, NV 89143-5184
Phone (702) 241-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410000433 NV Practitioner - Occupational Therapist in Private Practice 6103340260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2654NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC CurrentSince Mar 1, 2025 Accepting new patients
Therapy Blocks L.L.C. Past Accepting new patients
My Left Foot Children's Therapy Pediatrics PastSince Jan 17, 2021 Accepting new patients

Locations

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

601 N Pecos Rd
Las Vegas, NV 89101
Phone (702) 455-2202

3920 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 478-5541

9260 W Sunset Rd
Ste 204
Las Vegas, NV 89148
Phone (702) 339-8770

1306 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 339-8770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1144819350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CRACKER BARREL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891435184",
            "telephone_number": "702-241-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 TULE SPRINGS RD UNIT 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318303",
            "telephone_number": "702-360-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "OT-2654",
            "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 Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.