Matthew Raymond Nuessle, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2086 Issued in NV

Practice address

7455 Arroyo Crossing Pkwy Ste 220
Las Vegas, NV 89113-4088

Phone

(702) 761-6449

Fax

(702) 925-0282

NPI assigned

Sep 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1184107252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6449",
            "fax_number": "702-925-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6449",
            "fax_number": "702-925-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9321 W Sunset Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484845",
            "country_code": "US",
            "telephone_number": "702-645-7800",
            "fax_number": "702-650-0865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUESSLE",
        "first_name": "MATTHEW",
        "middle_name": "RAYMOND",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.