Active NPI
Kyler Lund
- Occupational Therapy Assistant
- Henderson, NV
National Provider Identifier
1386531499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-3239
- Practice address
- 105 N Pecos Rd Ste 105
Henderson, NV 89074-1956 - Phone
- (702) 701-0057
- NPI assigned
- Jun 20, 2025
- Last updated
- Jun 20, 2025
- Sex
- Male
- 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-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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-3239 | NV | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCQ Lymphcare | Current | Accepting new patients | |
| MCQ Lymphcare | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.