Individual provider Active NPI

Jason Crawford, OTR/L

  • Mental Health Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1831766153
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
OT-3193 Issued in NV
Practice address
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Phone
(415) 602-8334
NPI assigned
Jun 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 18704 CA
Mental Health Occupational Therapist 225XM0800X OT-3193 NV Primary

Addresses

Primary practice location

6161 W Charleston Blvd
Las Vegas, NV 89146-1126

Mailing address

3451 Desert Cliff St Unit 104
Las Vegas, NV 89129-8619
Phone (415) 602-8834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616002550 NV Practitioner - Occupational Therapist in Private Practice 0648638080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18704CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Oct 9, 2023 Accepting new patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Oct 9, 2023 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

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": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1831766153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 DESERT CLIFF ST UNIT 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298619",
            "telephone_number": "415-602-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "415-602-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JASON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "18704",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NV",
            "license": "OT-3193",
            "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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.