Active NPI
Andrew Jackson, MOTR/L
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1285172841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2211
- Practice address
- 8736 Shady Pines Dr
Las Vegas, NV 89143-4460 - Phone
- (435) 650-7128
- NPI assigned
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 10241270-4201 | UT | |
| Occupational Therapist | 225X00000X | OT-2211 | NV | Primary |
Addresses
Primary practice location
8736 Shady Pines Dr
Las Vegas, NV 89143-4460
Mailing address
8736 Shady Pines Dr
Las Vegas, NV 89143-4460
Phone (435) 650-7128
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 |
|---|---|---|---|
| OT-2211 | NV | MD | Occupational Therapist |
| 10241270-4201 | UT | MD | Rural Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Flow Strategies LLC | Occupational Therapist | Current | Accepting new patients |
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
- Las Vegas, NV
- NPI 1326878059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1285172841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8736 SHADY PINES DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891434460",
"telephone_number": "435-650-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8736 SHADY PINES DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891434460",
"telephone_number": "435-650-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "UT",
"license": "10241270-4201",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-2211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in 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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.