Active NPI
Ocean of Change Therapy Services LLC
- Pediatric Occupational Therapist
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- OCEAN OF CHANGE THERAPY SERVICES LLC
- Practice address
- 10907 S Eastern Ave Ste 100
Henderson, NV 89052-5863 - Phone
- (702) 867-4266
- NPI assigned
- Oct 24, 2019
- Last updated
- Oct 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Brynn N Butzman, OTD, OTR/L
- Title
- Owner/Occupational Therapist
- Phone
- (408) 813-1762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
10907 S Eastern Ave Ste 100
Henderson, NV 89052-5863
Mailing address
2505 Anthem Village Dr Ste E380
Henderson, NV 89052-5505
Phone (702) 867-4266
National Provider Directory
National Provider DirectoryLocations
10907 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 565-3824
2505 Anthem Village Dr
Ste E380
Henderson, NV 89052
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Occupational Therapist
- Henderson, NV
- NPI 1942843958
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571875200000",
"number": "1770126443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR STE E380",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505",
"telephone_number": "702-867-4266",
"fax_number": "702-867-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10907 S EASTERN AVE STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525863",
"telephone_number": "702-867-4266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN OF CHANGE THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A",
"authorized_official_last_name": "BUTZMAN",
"authorized_official_first_name": "BRYNN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "408-813-1762",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "OTD, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.