Individual provider Active NPI

Eric Rutsky, MSOT, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1932461985
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15-0631 Issued in NV
Practice address
6375 W Charleston Blvd BLDG L200
Las Vegas, NV 89146-1139
Phone
(702) 210-6612
NPI assigned
Jun 14, 2012
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 15-0631 NV
Physical Rehabilitation Occupational Therapist 225XP0019X 15-0631 NV
Occupational Therapist 225X00000X 15-0631 NV Primary

Addresses

Primary practice location

6375 W Charleston Blvd BLDG L200
Las Vegas, NV 89146-1139

Mailing address

6375 W Charleston Blvd BLDG L200
Las Vegas, NV 89146-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15-0631NVMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1932461985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 W CHARLESTON BLVD BLDG L200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461139",
            "fax_number": "866-883-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 W CHARLESTON BLVD BLDG L200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461139",
            "telephone_number": "702-210-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTSKY",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NV",
            "license": "15-0631",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NV",
            "license": "15-0631",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "15-0631",
            "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 24, 2020; 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.