Active NPI
Ellina Shtaif, OTR/L
- Occupational Therapist
- Henderson, NV
National Provider Identifier
1821408022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14-0429
- Practice address
- 1125 Tuscan Sky LN Unit 1
Henderson, NV 89002-0677 - Phone
- (718) 801-7136
- NPI assigned
- Apr 28, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14-0429 | NV | Primary |
Addresses
Primary practice location
1125 Tuscan Sky LN Unit 1
Henderson, NV 89002-0677
Mailing address
1125 Tuscan Sky LN Unit 1
Henderson, NV 89002-0677
Phone (718) 801-7136
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-0429 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1821408022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 TUSCAN SKY LN UNIT 1",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890020677",
"telephone_number": "718-801-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TUSCAN SKY LN UNIT 1",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890020677",
"telephone_number": "718-801-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHTAIF",
"first_name": "ELLINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "14-0429",
"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 Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.