Individual provider Active NPI

Raquel Sweat, OTR/L

  • Pediatric Occupational Therapist
  • North Las Vegas, NV
National Provider Identifier
1750649349
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
11-0187 Issued in NV
Practice address
6935 Aliante Pkwy # 104-190
North Las Vegas, NV 89084-5818
Phone
(702) 398-7031
NPI assigned
May 2, 2012
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 11-0187 NV Primary

Addresses

Primary practice location

6935 Aliante Pkwy # 104-190
North Las Vegas, NV 89084-5818

Mailing address

6935 Aliante Pkwy # 104-190
North Las Vegas, NV 89084-5818

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

LicenseStateTypeSpecialty
11-0187NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Occupational Therapy Services Single Specialty CurrentSince Aug 29, 2021 Accepting new patients

Locations

6935 Aliante Pkwy
Ste 104190
North Las Vegas, NV 89084
Phone (702) 398-7031

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1750649349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY # 104-190",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY # 104-190",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818",
            "telephone_number": "702-398-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEAT",
        "first_name": "RAQUEL",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "11-0187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.