NPIMap

Organization Active NPI

Kids Therapy LV Corporation

  • Pediatric Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1871860338
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
10-0057 Issued in NV
Legal business name
KIDS THERAPY LV CORPORATION
Practice address
1657 E Desert Inn Rd
Las Vegas, NV 89169-2514
Phone
(702) 534-0094
Fax
(702) 726-9527
NPI assigned
Nov 28, 2011
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Jade MadisonNPI 1326326174
Title
President
Phone
(702) 499-0443

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10-0057 NV
Pediatric Occupational Therapist 225XP0200X 10-0057 NV Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 10-0057 NV

Addresses

Primary practice location

1657 E Desert Inn Rd
Las Vegas, NV 89169-2514

Mailing address

1657 E Desert Inn Rd
Las Vegas, NV 89169-2514
Phone (702) 534-0094

National Provider Directory

National Provider Directory

Locations

2510 Wigwam Pkwy
Ste 208
Henderson, NV 89074
Phone (702) 269-7401

Practitioners & affiliated clinicians

Practitioners 2

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1871860338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692514",
            "telephone_number": "702-534-0094",
            "fax_number": "702-726-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692514",
            "telephone_number": "702-534-0094",
            "fax_number": "702-726-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THERAPY LV CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-499-0443"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "10-0057",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "10-0057",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NV",
            "license": "10-0057",
            "primary": false
        }
    ],
    "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 18, 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.

Verify at the official NPI Registry.