Jacquelyn Mota Gutierrez
Individual provider Active NPI Occupational Therapist · Las Vegas, NV
NPI 1376246264 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1376246264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-3181 (NV)
- Practice address
- 9050 W Cheyenne Ave Ste 210
Las Vegas, NV 89129-8932 - Phone
- (702) 209-0069
- Fax
- (702) 564-4838
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affiliated Physical Therapy
Practice addresses (Care Compare)
9050 W Cheyenne Ave
Suite 210
Las Vegas, NV 89129-8932
Phone (702) 660-2694
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.17 of 100
- Quality
- 37.51
- Improvement activities
- 40
- Cost
- 75.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230428002151 | NV | Practitioner - Occupational Therapist in Private Practice | 3476918319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-3181 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Physical Therapy | Occupational Therapist | Current |
Accepting new patients |
| Therapy West LLC | Past |
Accepting new patients |
Locations
129 W Lake Mead Pkwy
Ste 2
Henderson, NV 89015
Phone (702) 564-7309
9050 W Cheyenne Ave
#210
Las Vegas, NV 89129
Phone (702) 209-0069
1333 N Buffalo Dr
Unit 170
Las Vegas, NV 89128
Phone (702) 660-2694
3840 W Ann Rd
Ste 101B
North Las Vegas, NV 89031
Phone (702) 660-2694
2250 Postal Dr
Ste 4
Pahrump, NV 89048
Phone (775) 727-3838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | OT-3181 | NV | Yes |
Addresses
Primary practice location
9050 W Cheyenne Ave Ste 210
Las Vegas, NV 89129-8932
Mailing address
1333 N Buffalo Dr Unit 170
Las Vegas, NV 89128-3637
Phone (702) 660-2694
Other providers in Las Vegas, NV
- Steven T Moss
- Amir Mossadegh
- Most Dental LLC
- Mehrdad Mostafaeipour
- Mirko Omid Mostaghimi
- Jeannettsy Mota Gutierrez
- Anida Mota
- Breeanna N Mota
- Christopher Mota
- Cynthia Mota
All providers in Las Vegas, NV · Occupational Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.