Individual provider Active NPI

Kyler Lund

  • Occupational Therapy Assistant
  • Henderson, NV
National Provider Identifier
1386531499
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-3239 Issued in NV
Practice address
105 N Pecos Rd Ste 105
Henderson, NV 89074-1956
Phone
(702) 701-0057
NPI assigned
Jun 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-3239 NV Primary

Addresses

Primary practice location

105 N Pecos Rd Ste 105
Henderson, NV 89074-1956

Mailing address

5715 W Alexander Rd Ste 155
Las Vegas, NV 89130-2807
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

LicenseStateTypeSpecialty
OTA-3239NVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCQ Lymphcare CurrentSince Jun 23, 2025 Accepting new patients
MCQ Lymphcare CurrentSince Jun 23, 2025 Accepting new patients

Locations

105 N Pecos Rd
Ste 105
Henderson, NV 89074
Phone (702) 701-0057

5715 W Alexander Rd
Ste 155
Las Vegas, NV 89130
Phone (702) 612-7699

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1386531499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 W ALEXANDER RD STE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302807",
            "telephone_number": "702-701-0057",
            "fax_number": "702-701-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PECOS RD STE 105",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741956",
            "telephone_number": "702-701-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "KYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "OTA-3239",
            "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 Jun 20, 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.

Verify at the official NPI Registry.