Individual provider Active NPI

Nicole Anna Garrett, OTD, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1487529988
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3773 Issued in NV
Practice address
7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425
Phone
(702) 515-4009
Fax
(702) 960-4169
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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-3773 NV Primary

Addresses

Primary practice location

7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425

Mailing address

7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425
Phone (702) 515-4009

Other names 1

  • Nicole Anna Lewandowski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213004011 NV Practitioner - Occupational Therapist in Private Practice 2365922895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2490 Paseo Verde Pkwy
Suite 155
Henderson, NV 89074-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-3773NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Jan 14, 2026 Accepting new patients

Locations

7425 W Azure Dr
Ste 140
Las Vegas, NV 89130
Phone (702) 983-3409

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1487529988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304425",
            "telephone_number": "702-515-4009",
            "fax_number": "702-960-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304425",
            "telephone_number": "702-515-4009",
            "fax_number": "702-960-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "NICOLE",
        "middle_name": "ANNA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEWANDOWSKI",
            "middle_name": "ANNA",
            "credential": "OTD, OTR/L",
            "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 Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.