NPI 1285172841 · live from the CMS NPI Registry
Andrew Jackson, MOTR/L
Occupational Therapist in Las Vegas, NV. National Provider Identifier 1285172841, active.
NPI record
| NPI | 1285172841 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 8736 Shady Pines Dr, Las Vegas, NV 89143 |
| Practice phone | 435-650-7128 |
| Enumerated | February 3, 2017 |
| Last updated | April 28, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital, Rural | 282NR1301X | 10241270-4201 (UT) |
| Occupational Therapist primary | 225X00000X | OT-2211 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.