Active NPI
My Left Foot Children'S Therapy, LLC.
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1790080463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MY LEFT FOOT CHILDREN'S THERAPY, LLC.
- Practice address
- 2012 S Jones Blvd
Las Vegas, NV 89146-3151 - Phone
- (702) 360-1137
- Fax
- (702) 240-1729
- NPI assigned
- Jan 11, 2011
- 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
- Jon Gottlieb
- Title
- Coo
- Phone
- (702) 360-1137
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2012 S Jones Blvd
Las Vegas, NV 89146-3151
Mailing address
3395 S Jones Blvd # 363
Las Vegas, NV 89146-6729
Phone (702) 360-1137
Other names 1
- My Left Foot Children's Therapy
National Provider Directory
National Provider Directory- Tax ID family
- My Left Foot Children'S Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- Las Vegas, NV
- NPI 1497810576
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1043667645
Locations
3395 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 437-9654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463097600000",
"number": "1790080463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 S JONES BLVD # 363",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466729",
"telephone_number": "702-360-1137",
"fax_number": "702-240-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463151",
"telephone_number": "702-360-1137",
"fax_number": "702-240-1729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY LEFT FOOT CHILDREN'S THERAPY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-11",
"last_updated": "2016-05-13",
"status": "A",
"authorized_official_last_name": "GOTTLIEB",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "702-360-1137"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Left Foot Children's Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.