Guadalupe Gaytan, DOTL/R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3343 Issued in NV

Practice address

2625 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-2896

Phone

(702) 896-0383

Fax

(702) 889-0383

NPI assigned

Feb 9, 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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Manuel Therapy Institute 1 LLCGroup PAC ID 7810922622, 4 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.

• Advanced Manuel Therapy Institute 1 LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1740496272

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Manual Therapy Institute I LLC

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1023558426

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1770347783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "GUADALUPE",
        "credential": "DOTL/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Gaut, BCBA, LBA
• Gautham Gummadi Reddy MD Limited
• Nancy Tran Phan Gauthier, OD
• Bindu Gaye
• Cynthia Nichol Gaytan, M.A, CPHW,SW,PHN
• Jewlisa Serina Gaytan
• Jessica L Gdovin, PA-C
• Joell Edward Geaga
• Firtuna Ambaye Gebremedhin, RBT
• Jessica Gehl

• Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.