Individual provider Active NPI

Elise Goodrich

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1821963760
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3810 Issued in NV
Practice address
6050 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-5614
Phone
(702) 564-6712
Fax
(702) 564-4838
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-3810 NV Primary

Addresses

Primary practice location

6050 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-5614

Mailing address

3840 W Ann Rd Ste 101B
North Las Vegas, NV 89031-4404
Phone (702) 660-2694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311004134 NV Practitioner - Occupational Therapist in Private Practice 4082197678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Physical TherapyGroup PAC ID 1951453075, 47 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

6050 S Fort Apache Rd
Suite 120
Las Vegas, NV 89148-5614
Phone (702) 728-5735

7455 W Washington Ave
Suite 100
Las Vegas, NV 89128-4338
Phone (702) 655-9456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-3810NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Physical Therapy Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Feb 9, 2026 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients

Locations

7455 W Washington Ave
Ste 100
Las Vegas, NV 89128
Phone (702) 655-9456

6050 S Fort Apache Rd
Ste 120
Las Vegas, NV 89148
Phone (702) 728-5735

1525 E Windmill Ln
Ste 102
Las Vegas, NV 89123
Phone (702) 508-9325

3840 W Ann Rd
Ste 101B
North Las Vegas, NV 89031
Phone (702) 660-2694

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1821963760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 W ANN RD STE 101B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314404",
            "telephone_number": "702-660-2694",
            "fax_number": "702-750-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 S FORT APACHE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485614",
            "telephone_number": "702-564-6712",
            "fax_number": "702-564-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 12, 2026; 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.