Organization Active NPI

Jahana Diiorio Otr-L PLLC

  • Pediatric Occupational Therapist
  • Henderson, NV
National Provider Identifier
1972974251
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
12-0253 Issued in NV
Legal business name
JAHANA DIIORIO OTR-L PLLC
Practice address
1176 Wigwam Pkwy
Henderson, NV 89074-8154
Phone
(702) 825-0588
Fax
(702) 852-0241
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Mrs. Jahana Diiorio, OTR/LNPI 1003167024
Title
Director
Phone
(718) 300-1331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 12-0253 NV Primary

Addresses

Primary practice location

1176 Wigwam Pkwy
Henderson, NV 89074-8154

Mailing address

1176 Wigwam Pkwy
Henderson, NV 89074-8154
Phone (702) 825-0588

Other names 1

  • Creative Foundations Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1176 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 825-0588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1972974251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748154",
            "telephone_number": "702-825-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748154",
            "telephone_number": "702-825-0588",
            "fax_number": "702-852-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHANA DIIORIO OTR-L PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "DIIORIO",
        "authorized_official_first_name": "JAHANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-300-1331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "12-0253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Foundations Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.