Individual provider Active NPI

Janet Carol Willoughby, MS OTRL

  • Pediatric Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1477729333
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
11-0084 Issued in NV
Practice address
3030 S Jones Blvd
Las Vegas, NV 89146-6792
Phone
(702) 360-1137
Fax
(702) 341-1511
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 11-0084 NV Primary

Addresses

Primary practice location

3030 S Jones Blvd
Las Vegas, NV 89146-6792

Mailing address

840 Purdy Lodge St
Las Vegas, NV 89138-6043
Phone (727) 492-5935

Other names 1

  • Janet Carol Howell Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11-0084NVMDPediatric Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1477729333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PURDY LODGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386043",
            "telephone_number": "727-492-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466792",
            "telephone_number": "702-360-1137",
            "fax_number": "702-341-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "JANET",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "MS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "11-0084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "HOWELL",
            "middle_name": "CAROL",
            "credential": "MS OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 28, 2011; 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.