Active NPI
Lynnette Zulquairnain
- Occupational Therapist
- Henderson, NV
National Provider Identifier
1275930653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2664 | NV | MD | Feeding, Eating & Swallowing Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxx Therapy Solutions, PLLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Henderson, NV
- NPI 1558006783
NV, Occupational Therapist
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.