Active NPI
Adriel Ozaeta
- Physical Therapy Assistant
- Henderson, NV
National Provider Identifier
1992370357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-1329
- Practice address
- 346 Misterioso St
Henderson, NV 89011-5446 - Phone
- (734) 634-6546
- NPI assigned
- May 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-1329 | NV | Primary |
Addresses
Primary practice location
346 Misterioso St
Henderson, NV 89011-5446
Mailing address
346 Misterioso St
Henderson, NV 89011-5446
Phone (734) 634-6546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00002644885 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-1329 | NV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1992370357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 MISTERIOSO ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890115446",
"telephone_number": "734-634-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 MISTERIOSO ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890115446",
"telephone_number": "734-634-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZAETA",
"first_name": "ADRIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NV",
"license": "A-1329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00002644885",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.