Individual provider Active NPI

Lynnette Zulquairnain

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1275930653
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2664 Issued in NV
Practice address
2300 Trasimeno Place
Henderson, NV 89044
Phone
(702) 406-9974
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X OT-2664 NV
Environmental Modification Occupational Therapist 225XE0001X OT-2664 NV
Ergonomics Occupational Therapist 225XE1200X OT-2664 NV
Neurorehabilitation Occupational Therapist 225XN1300X OT-2664 NV
Physical Rehabilitation Occupational Therapist 225XP0019X OT-2664 NV
Pediatric Occupational Therapist 225XP0200X OT-2664 NV
Occupational Therapist 225X00000X OT-2664 NV Primary

Addresses

Primary practice location

2300 Trasimeno Place
Henderson, NV 89044

Mailing address

675 S Green Valley Pkwy # 1174
Henderson, NV 89052-0404
Phone (702) 406-9974

Other practice location 1

2300 Trasimeno Pl
Henderson, NV 89044-1924
Phone (702) 406-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001631 NV Practitioner - Occupational Therapist in Private Practice 3375927635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2664NVMDFeeding, Eating & Swallowing Occupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maxx Therapy Solutions, PLLC Occupational Therapist CurrentSince Jul 27, 2022 Accepting new patients

Locations

675 S Green Valley Pkwy
Henderson, NV 89052
Phone (702) 275-5616

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1275930653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S GREEN VALLEY PKWY # 1174",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520404",
            "telephone_number": "702-406-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 TRASIMENO PLACE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89044",
            "telephone_number": "702-406-9974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Trasimeno Pl",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890441924",
            "country_code": "US",
            "telephone_number": "702-406-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZULQUAIRNAIN",
        "first_name": "LYNNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "NV",
            "license": "OT-2664",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NV",
            "license": "OT-2664",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NV",
            "license": "OT-2664",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NV",
            "license": "OT-2664",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NV",
            "license": "OT-2664",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "OT-2664",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.