Active NPI
Victoria Markantonis, COTA/L CLT
- Occupational Therapy Assistant
- Henderson, NV
National Provider Identifier
1336944784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-2441
- Practice address
- 105 N Pecos Rd
Henderson, NV 89074-7324 - Phone
- (702) 701-0057
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-2441 | NV | Primary |
Addresses
Primary practice location
105 N Pecos Rd
Henderson, NV 89074-7324
Mailing address
105 N Pecos Rd
Henderson, NV 89074-7324
Phone (702) 701-0057
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 |
|---|---|---|---|
| OTA-2441 | NV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1336944784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747324",
"telephone_number": "702-701-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747324",
"telephone_number": "702-701-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKANTONIS",
"first_name": "VICTORIA",
"name_prefix": "Mrs.",
"credential": "COTA/L CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NV",
"license": "OTA-2441",
"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 18, 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.