Individual provider Active NPI

Katrina Paula Agojo

  • Occupational Therapy Assistant
  • Las Vegas, NV
National Provider Identifier
1972241297
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-2643 Issued in NV
Practice address
3199 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3150
Phone
(702) 998-1793
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-2643 NV Primary

Addresses

Primary practice location

3199 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3150

Mailing address

6426 Parrot Ridge CT
Las Vegas, NV 89139-7223
Phone (702) 324-0256

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
OTA-2643NVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Motivated Kids Therapy LLC CurrentSince May 29, 2022 Accepting new patients

Locations

3199 E Warm Springs Rd
Ste 200
Las Vegas, NV 89120
Phone (702) 423-4855

Organizations & group practices 1

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1972241297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 PARROT RIDGE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397223",
            "telephone_number": "702-324-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 E WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203150",
            "telephone_number": "702-998-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOJO",
        "first_name": "KATRINA PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "OTA-2643",
            "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 May 25, 2022; 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.