Therapy Source of Nevada, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0324 Issued in NV

Legal business name

THERAPY SOURCE OF NEVADA, LLC

Practice address

1614 Waterford Falls Ave
Las Vegas, NV 89123-5873

Phone

(702) 683-7617

Fax

(702) 837-3422

NPI assigned

Feb 24, 2013

Last updated

Feb 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Minnick, OTR/LNPI 1285909135

Title

Occupational Therapist

Phone

(702) 683-7617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Minnick, OTR/L

  • Pediatric Occupational Therapist
  • Las Vegas, NV
  • NPI 1285909135
  Authorized official Same address or phone

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361664000000",
    "number": "1851631196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 W HORIZON RIDGE PKWY",
            "address_2": "SUITE B5 PMB 322",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522803",
            "telephone_number": "702-683-7617",
            "fax_number": "702-837-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WATERFORD FALLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891235873",
            "telephone_number": "702-683-7617",
            "fax_number": "702-837-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOURCE OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-02-24",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "702-683-7617",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "0324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Management Group, LLC
• Therapy Management Group, LLC
• Therapy of Southern Nevada LLC
• Therapy Place, LLC
• Therapy Sense PLLC
• Therapy Today Behavioral Health LLC
• Therapy West LLC
• Therapy With Kristen
• Therapy With Lacey PLLC (The Mellow Clinic)
• Therapy Works, L.L.C.

• Pediatric Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.