Pamela Katy Betkowski, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Las Vegas, NV
NPI 1154910131 · NPPES record last updated Jan 13, 2021
Key facts
- NPI
- 1154910131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA-2652 (NV)
- Practice address
- 3101 W Charleston Blvd
Las Vegas, NV 89102-1931 - Phone
- (702) 831-6670
- Fax
- (702) 831-6671
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-2652 | NV | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | OTA-2652 | NV | Yes |
Addresses
Primary practice location
3101 W Charleston Blvd
Las Vegas, NV 89102-1931
Mailing address
3101 W Charleston Blvd
Las Vegas, NV 89102-1931
Phone (702) 831-6670
Other providers in Las Vegas, NV
- Yvonne Lynette Bethea
- Bethesda Cares LLC
- Bethesda Home Health, LLC
- Bethesda Lake Medical Suppies Inc
- Mary Janette Betita
- Francis Fee Beto
- Nicole Michelle Betson
- Heather Ashley Bettencourt
- Miriam S Bettencourt
- Better Behavior Health Services
All providers in Las Vegas, NV · Occupational Therapy Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.