Evan Fakhreddine, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

10472 Wellington Manor Ave
Las Vegas, NV 89129-4514

Phone

(301) 385-1784

NPI assigned

Feb 22, 2018

Last updated

May 19, 2023By the provider in NPPES

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)

Not enrolled

Practice roles

Locations

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.

• Neuro Thrive PC

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1013605880
  NPD Authorized official
• Neuro Thrive PC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1760295232
  NPD Authorized official
• The Treatment and Learning Center

  • Local Education Agency (LEA)
  • Rockville, MD
  • NPI 1205185733
  NPD (past)
• The Treatment and Learning Centers, Inc.

  • Audiologist
  • Rockville, MD
  • NPI 1952346371
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1265933584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10472 WELLINGTON MANOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294514",
            "telephone_number": "301-385-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10472 WELLINGTON MANOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294514",
            "telephone_number": "301-385-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHREDDINE",
        "first_name": "EVAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Ian Fajet, MD
• JL Sateki Fakalata
• Sadaf Fakhra, DO
• Sahba Fakhra, O.D.
• Hooman Fakhrai, DMD
• Martin Fakiel, M.D.
• Yaacov Fakiro
• Iosefo Falaniko
• Jessica Falbo
• Mark Hodgson Falco, M.D.

• 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 May 19, 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.