Active NPI
Richard Andrew Pass Jr., OTD, OTR/L
- Occupational Therapist
- North Las Vegas, NV
National Provider Identifier
1144828286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2606
- Practice address
- 1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329 - Phone
- (609) 602-0124
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- 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 Therapist | 225X00000X | OT2606 | NV | Primary |
Addresses
Primary practice location
1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329
Mailing address
1550 W Craig Rd Ste 210
North Las Vegas, NV 89032-0329
Phone (609) 602-0124
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2606 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1144828286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W CRAIG RD STE 210",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320329",
"telephone_number": "609-602-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 W CRAIG RD STE 210",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320329",
"telephone_number": "609-602-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASS",
"first_name": "RICHARD",
"middle_name": "ANDREW",
"name_suffix": "Jr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT2606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North 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 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.