Asia Suriyachottakul Bouddhara

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826

Phone

(702) 734-2732

Fax

(702) 737-1453

NPI assigned

Oct 11, 2024

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

Other names 1

• Asia Suriyachottakul Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279
  Medicare reassignment Care Compare group NPD
• New Century Rehabilitation LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1396777892

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD
• New Century Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1801471628
  NPD

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1689494023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190826",
            "telephone_number": "702-734-2732",
            "fax_number": "702-737-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIYACHOTTAKUL BOUDDHARA",
        "first_name": "ASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIA",
            "last_name": "SURIYACHOTTAKUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kayli Surina, PA-C
• Raquel Surry
• Raveendra Babu Suryadevara, M.D
• Tejeswi Suryadevara, MBBS
• Susan Hoffert PT Professional Corp
• Susan R Fernandez PC

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.