LISA VANAGEATIGUL (OT) – Occupational Therapist, NPI 1629643945

LISA VANAGEATIGUL (OT) is a healthcare provider. based in Las vegas, Nevada. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT-2725 (NV). The NPI Number for LISA VANAGEATIGUL (OT) is 1629643945

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LISA VANAGEATIGUL (OT)
NPI
1629643945
Phone
(415) 706-0406
Address
7556 GRIST MILL CT
Enumeration Date
20 May 2021
Last Update Date
20 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023811839
Graduation Year
2017 (9 years ago)
PAC ID
8426452186
Group Practice PAC ID
7719219948
Professional Enrollment ID
I20210803002904
Address ID
NV891414356LA11091CTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

152 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NV

Provider Addresses for LISA VANAGEATIGUL (OT)

  • 7556 GRIST MILL CT

    LAS VEGAS, NV 891131143

    Phone: (415) 706-0406

    Type: Mailing

  • 11091 KILKERRAN CT

    LAS VEGAS, NV 891414356

    Phone: (702) 672-4104

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210803002904IOccupational Therapist In Private PracticeNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 activities3,08712$0
View full utilization report →

Insurance plans in this area (ZIP 89113)

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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: 7719219948View full group profile
NameSpecialtyState
-NV
Qualified Speech Language PathologistNV
Occupational Therapist In Private PracticeNV
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeNV
Occupational Therapist In Private PracticeNV
Occupational Therapist In Private PracticeMANITOBA
Physical Therapist In Private PracticeNV
-NV
Occupational Therapist In Private PracticeNV

Reviews

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Frequently asked questions

Is there an official ID for LISA VANAGEATIGUL (OT) in U.S. healthcare records?
The official identifier for LISA VANAGEATIGUL (OT) is NPI 1629643945.
Is LISA VANAGEATIGUL (OT) shown as active in public data?
Registry records indicate LISA VANAGEATIGUL (OT) maintains an active NPI.
How would a patient describe LISA VANAGEATIGUL (OT)'s focus?
For LISA VANAGEATIGUL (OT), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is LISA VANAGEATIGUL (OT) located near Las Vegas?
LISA VANAGEATIGUL (OT) currently maps to Las Vegas, Nevada in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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