Individual provider Active NPI

Myra Phui

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1306351291
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2639 Issued in NV
Practice address
7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679
Phone
(702) 396-0101
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NV
Occupational Therapist 225X00000X OT-2639 NV Primary

Addresses

Primary practice location

7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679

Mailing address

7948 Sandrock Ranch St
Las Vegas, NV 89113-3068
Phone (702) 768-8998

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

LicenseStateTypeSpecialty
OT-2639NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Therapy Services Past Accepting new patients
Tandem Therapy Services Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1306351291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 SANDROCK RANCH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133068",
            "telephone_number": "702-768-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171679",
            "telephone_number": "702-396-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUI",
        "first_name": "MYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2639",
            "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 Jan 12, 2021; 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.