NPIMap

Organization Active NPI

Spectrum Squad LLC

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1871405712
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SPECTRUM SQUAD LLC
Practice address
1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120
Phone
(702) 600-4037
Fax
(702) 710-1105
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM SQUAD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Quiana BlakeNPI 1750225637
Title
Ceo
Phone
(702) 600-0904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120

Mailing address

1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120
Phone (702) 600-4037

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Squad Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1871405712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195120",
            "telephone_number": "702-600-4037",
            "fax_number": "702-710-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195120",
            "telephone_number": "702-600-4037",
            "fax_number": "702-710-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SQUAD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM SQUAD LLC",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "QUIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-600-0904"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "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 17, 2026; 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.