Unknown Individual – Physical Rehabilitation Occupational Therapist, NPI 1407945793

Unknown Individual is a healthcare provider. based in Mesquite, Nevada. specializing in Physical Rehabilitation Occupational Therapist. They hold a License No. 0692 (NV). The NPI Number for Unknown Individual is 1407945793

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407945793
Phone
(702) 346-1899
Address
PO BOX 757
Deactivation Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023461899
Graduation Year
2002 (24 years ago)
PAC ID
9234144262
Group Practice PAC ID
5496710568
Professional Enrollment ID
I20060213000676
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 757

    MESQUITE, NV 890240757

    Phone: (702) 346-1899

    Fax: (702) 346-8581

    Type: Mailing

  • 1140 W. PIONEER BLVD

    MESQUITE, NV 89027

    Phone: (702) 346-1899

    Fax: (702) 346-8581

    Type: Location

  • Mesa View Medical Office Building, 1301, Bertha Howe Avenue, Mesquite, Clark County, Nevada, 89027, United States

    SUITE 7

    MESQUITE, NV 890277502

    Phone: (702) 346-1899

    Fax: (702) 346-8581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities92252$0
97140Therapy procedure using manual technique, each 15 minutes58252$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40742$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care23124$0
97035Application of ultrasound, each 15 minutes8516$0
View full utilization report →

Insurance plans in this area (ZIP 89024)

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Provider's Procedures

Unknown Individual performs procedures in Physical Rehabilitation Occupational Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYNV97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes69740

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496710568View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Occupational Therapist In Private PracticeUT
Qualified Speech Language PathologistUT
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1407945793 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Physical Rehabilitation Occupational Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Nevada?
You will see Mesquite, Nevada on file for Unknown Individual alongside any extra practice locations.
What if Mesquite, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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