Individual provider Active NPI

Jaimee Mitchel, OTR

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1457028060
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2749 Issued in NV
Practice address
6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334
Phone
(702) 515-4009
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 OT-2749 NV Primary

Addresses

Primary practice location

6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334

Mailing address

6490 Aether St
Las Vegas, NV 89148-6734
Phone (317) 443-2360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520001200 NV Practitioner - Occupational Therapist in Private Practice 8123546561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2749NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Aug 18, 2024 Accepting new patients
Integrative Occupational Therapy LLC Occupational Therapist CurrentSince Apr 6, 2025 Accepting new patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Aug 29, 2021 Accepting new patients
Foundations First Therapy, Inc Occupational Therapist Past Accepting new patients

Locations

6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009

Organizations & group practices 4

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1457028060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 AETHER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486734",
            "telephone_number": "317-443-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S JONES BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183334",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "JAIMEE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2749",
            "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 Aug 23, 2021; 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.