Active NPI
Cindy Viveros, COTA
- Occupational Therapist
- North Las Vegas, NV
National Provider Identifier
1265288872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3438
- Practice address
- 6935 Aliante Pkwy Ste 104-190
North Las Vegas, NV 89084-5818 - Phone
- (702) 883-9528
- Fax
- (702) 852-5715
- NPI assigned
- Apr 25, 2024
- Last updated
- Apr 25, 2024
- Sex
- Female
- 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 | 3438 | NV | Primary |
Addresses
Primary practice location
6935 Aliante Pkwy Ste 104-190
North Las Vegas, NV 89084-5818
Mailing address
4560 Amberley Ridge Ave
Las Vegas, NV 89115-1657
Phone (714) 604-8501
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3438 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Occupational Therapy Services | Occupational Therapist | Current | Accepting new patients |
Locations
6935 Aliante Pkwy
Ste 104190
North Las Vegas, NV 89084
Phone (702) 398-7031
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- North Las Vegas, NV
- NPI 1790028124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1265288872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 AMBERLEY RIDGE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891151657",
"telephone_number": "714-604-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6935 ALIANTE PKWY STE 104-190",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890845818",
"telephone_number": "702-883-9528",
"fax_number": "702-852-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVEROS",
"first_name": "CINDY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "3438",
"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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.