Heather R Omlin, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-2178 Issued in NV

Practice address

508 Fork Mesa CT
Henderson, NV 89015-5701

Phone

(702) 420-4264

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2020.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1164034328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FORK MESA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155701",
            "telephone_number": "702-420-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FORK MESA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155701",
            "telephone_number": "702-420-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMLIN",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "OTA-2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Allen Olson, IDMT, NREMT-P, RN
• Estelle Olson, PHARMACIST
• Susan Olson
• Omar B Cabahug MD Prof Corp
• Deanne Ting Omar, AGACNP-BC
• Omni Family Care LLC
• Jennifer Onaga, DO
• One Source Diagnostic LLC
• Rachel Ong, ND, OMD
• Colin Ono-Moore, DPT

• All providers in Henderson, NV
• Occupational Therapy Assistant in Nevada

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