Individual provider Active NPI

Corinne Trenholm, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1437585064
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
130363 Issued in NV
Practice address
850 La Sconsa Dr
Las Vegas, NV 89138-7562
Phone
(702) 526-5550
Fax
(702) 347-7649
NPI assigned
Sep 14, 2013
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 130363 NV Primary

Addresses

Primary practice location

850 La Sconsa Dr
Las Vegas, NV 89138-7562

Mailing address

850 La Sconsa Dr
Las Vegas, NV 89138-7562
Phone (702) 526-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731002547 NV Practitioner - Occupational Therapist in Private Practice 4789800491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130363NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Life Therapy, LLC Occupational Therapist CurrentSince Feb 15, 2014 Accepting new patients

Organizations & group practices 1

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": "1379116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1437585064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 LA SCONSA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387562",
            "telephone_number": "702-526-5550",
            "fax_number": "702-347-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LA SCONSA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387562",
            "telephone_number": "702-526-5550",
            "fax_number": "702-347-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENHOLM",
        "first_name": "CORINNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-14",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "130363",
            "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 Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.