Active NPI
Jennifer Courtad, OT
- Pediatric Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1700048048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0637
- Practice address
- 452 E Silverado Ranch Blvd
#455
Las Vegas, NV 89183-6290 - Phone
- (702) 236-5053
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0637 | NV | Primary |
Addresses
Primary practice location
452 E Silverado Ranch Blvd
#455
Las Vegas, NV 89183-6290
Mailing address
1489 Sunair Cir
Las Vegas, NV 89110-1804
Phone (702) 438-4009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1700048048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1489 SUNAIR CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891101804",
"telephone_number": "702-438-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 E SILVERADO RANCH BLVD",
"address_2": "#455",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891836290",
"telephone_number": "702-236-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTAD",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NV",
"license": "0637",
"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 Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.