Organization Active NPI

Integrative Healing & Wellness, LLC

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1336805324
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INTEGRATIVE HEALING & WELLNESS, LLC
Practice address
6787 W Tropicana Ave Ste 253
Las Vegas, NV 89103-4759
Phone
(702) 635-5182
NPI assigned
Nov 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Ms. Mayra Olivares, OTR/LNPI 1609176700
Title
Business Owner
Phone
(702) 635-5182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

6787 W Tropicana Ave Ste 253
Las Vegas, NV 89103-4759

Mailing address

6787 W Tropicana Ave Ste 253
Las Vegas, NV 89103-4759
Phone (702) 635-5182

National Provider Directory

National Provider Directory

Locations

6787 W Tropicana Ave
Ste 253
Las Vegas, NV 89103
Phone (702) 635-5182

5510 S Fort Apache Rd
Ste 33
Las Vegas, NV 89148
Phone (702) 635-5182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1336805324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034759",
            "telephone_number": "702-635-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034759",
            "telephone_number": "702-635-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "702-635-5182",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 16, 2024; 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.