Individual provider Active NPI

Taylor Campanella-Slattery, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1154925501
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2629 Issued in NV
Practice address
8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101
Phone
(702) 462-5252
Fax
(702) 685-5009
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-2629 NV
Occupational Therapist 225X00000X OT-2629 NV Primary

Addresses

Primary practice location

8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101

Mailing address

8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101
Phone (702) 462-5252

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-2629NVMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1154925501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 SPRING MOUNTAIN RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174101",
            "telephone_number": "702-462-5252",
            "fax_number": "702-685-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 SPRING MOUNTAIN RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174101",
            "telephone_number": "702-462-5252",
            "fax_number": "702-685-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA-SLATTERY",
        "first_name": "TAYLOR",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "OT-2629",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2629",
            "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 Nov 25, 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.

Verify at the official NPI Registry.