Unknown Individual – Occupational Therapist, NPI 1063505923

Unknown Individual is a healthcare provider. based in Henderson, Nevada. specializing in Occupational Therapist. They hold a License No. 0571 (NV). The NPI Number for Unknown Individual is 1063505923

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063505923
Phone
(702) 768-3845
Address
9011 SIERRA PALMS WAY
Deactivation Date
6 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 9011 SIERRA PALMS WAY

    HENDERSON, NV 890746969

    Phone: (702) 768-3845

    Fax: (702) 617-4357

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89074)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1063505923 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Henderson, Nevada as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

DARRIN M HURDSMAN

Occupational Therapist
310, North Stephanie Street, Whitney Ranch, Henderson, Clark County, Nevada, 89014, United States
NPI: 1639161920
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1811969934

MARY KATHERINE PATTEN (OTR/L)

Occupational Therapist
874 American Pacific Dr
NPI: 1225065857

LUKE GAUGHAN (OT)

Occupational Therapist
10785 W TWAIN AVE STE 250
NPI: 1164537221

JESSE NAVA

Occupational Therapist
601 Whitney Ranch Dr
NPI: 1184730657

MS. AUDREY MARYANNE WHITE (OTR/L)

Occupational Therapist
2820 W CHARLESTON BLVD STE 1
NPI: 1386754893

PIA DUBOIS (OTR/L ,CHT)

Occupational Therapist
South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States
NPI: 1861596108
10624 S EASTERN AVE STE A
NPI: 1568556215

Dream Therapies

Occupational Therapist
9011 SIERRA PALMS WAY
NPI: 1356435044