Active NPI
Obelem Amanda Marcus
- Occupational Therapy Assistant
- Las Vegas, NV
National Provider Identifier
1699416909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-2786
- Practice address
- 5538 Duncan Dr
Las Vegas, NV 89130-2812 - Phone
- (702) 645-2606
- NPI assigned
- Apr 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-2786 | NV | Primary |
Addresses
Primary practice location
5538 Duncan Dr
Las Vegas, NV 89130-2812
Mailing address
10138 Palazzo Marcelli CT
Las Vegas, NV 89147-8567
Phone (706) 326-1479
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-2786 | NV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648857600000",
"number": "1699416909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10138 PALAZZO MARCELLI CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478567",
"telephone_number": "706-326-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5538 DUNCAN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302812",
"telephone_number": "702-645-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "OBELEM",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-02",
"last_updated": "2022-04-02",
"certification_date": "2022-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NV",
"license": "OTA-2786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.