Mary L Maico, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-3075 Issued in NV

Practice address

309 W Lake Mead Pkwy Unit 100
Henderson, NV 89015-7056

Phone

(702) 550-2939

NPI assigned

Oct 10, 2022

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Slptele LLC

  • Behavior Analyst
  • Katy, TX
  • NPI 1497393557

  NV, Occupational Therapist

  Medicare reassignment NPD
• Maico Therapeutic Solutions LLC

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1306677356
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1669197885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 TOPLEY PIKE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395391",
            "telephone_number": "913-961-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W LAKE MEAD PKWY UNIT 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157056",
            "telephone_number": "702-550-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAICO",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahendra Defonseka, MD, CHTD
• Mahgerefteh Medical PLLC
• Babak Mahgerefteh, D.O.
• David L Mahon, DDS
• Ryan Andrew Mai
• Nicole Lee Maier, PHARM. D
• Michele Maioriello
• Kim Louise Maisel
• Maison de Therapy PLLC
• Sierra Maison

• Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.