Individual provider Active NPI

Anselito Punla Lacap, OTR/L

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1508036567
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13-0322 Issued in NV
Practice address
1395 Raiders Way Ste 140
Henderson, NV 89052-4615
Phone
(725) 241-6800
NPI assigned
Mar 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13-0322 NV Primary
Occupational Therapist 225X00000X 3257 CA

Addresses

Primary practice location

1395 Raiders Way Ste 140
Henderson, NV 89052-4615

Mailing address

1395 Raiders Way Ste 140
Henderson, NV 89052-4615
Phone (725) 241-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118002162 NV Practitioner - Occupational Therapist in Private Practice 7618348228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Select Nevada LLCGroup PAC ID 0941541155, 111 clinicians

Practice addresses (Care Compare)

1395 Raiders Way
Suite 140
Henderson, NV 89052-4615
Phone (725) 241-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3257CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Select Nevada LLC Current Accepting new patients
Dignity Select Nevada, LLC CurrentSince Oct 11, 2022 Accepting new patients
Dignity Select Nevada LLC CurrentSince Oct 11, 2022 Accepting new patients

Locations

400 N Stephanie St
Ste 310
Henderson, NV 89014
Phone (702) 360-9142

2904 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 897-7331

555 College Dr
Ste C
Henderson, NV 89015
Phone (725) 254-1251

1395 Raiders Way
Ste 140
Henderson, NV 89052
Phone (725) 241-6800

2850 W Horizon Ridge Pkwy
Ste 320
Henderson, NV 89052
Phone (702) 564-4116

2651 Paseo Verde Pkwy
Ste 170
Henderson, NV 89074
Phone (702) 312-4878

821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110
Phone (702) 227-4447

2110 E Flamingo Rd
Ste 314
Las Vegas, NV 89119
Phone (702) 813-1237

4855 Blue Diamond Rd
Ste 210
Las Vegas, NV 89139
Phone (725) 207-3770

10630 Dean Martin Dr
Ste 120
Las Vegas, NV 89141
Phone (725) 254-1330

1776 E Warm Springs Rd
Ste 106
Las Vegas, NV 89119
Phone (702) 603-4110

8740 W Charleston Blvd
Ste 12
Las Vegas, NV 89117
Phone (725) 257-6560

8675 W Rome Blvd
Ste 140
Las Vegas, NV 89149
Phone (725) 206-7929

4980 W Sahara Ave
Ste 260
Las Vegas, NV 89146
Phone (702) 240-2952

2650 N Tenaya Way
Ste 180
Las Vegas, NV 89128
Phone (702) 240-2952

6048 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 260-6238

9880 W Flamingo Rd
Ste 260
Las Vegas, NV 89147
Phone (702) 360-9142

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

2550 Nature Park Dr
Ste 250
North Las Vegas, NV 89084
Phone (702) 524-8555

Organizations & group practices 3

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1508036567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 RAIDERS WAY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524615",
            "telephone_number": "725-241-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 RAIDERS WAY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524615",
            "telephone_number": "725-241-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAP",
        "first_name": "ANSELITO",
        "middle_name": "PUNLA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "13-0322",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3257",
            "primary": false
        }
    ],
    "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 Nov 11, 2022; 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.