KONDRAD R TAN (NPI# 1750860284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750860284 |
| Entity Type | Individual |
| Full Name | KONDRAD R TAN |
| Credential | MAOT |
| Practice Address |
2250 E Flamingo Rd Las Vegas NV 89119-5170 |
| Mailing Address |
6575 W Tropicana Ave Apt 1067 Las Vegas NV 89103-4741 |
| Practice Telephone | 8182807468 |
| Mailing Telephone | 8182807468 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 18-1014 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2250 E FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083671010 | Amir Aftab | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2006-04-26 |
| 1184257297 | J. Tyler Gubler, D.o., Pllc | Family Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2020-02-17 |
| 1811529845 | Melchor San Pedro | Registered Nurse | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2020-02-07 |
| 1669012357 | Eric Wayne Frorenza-hubbard | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2020-01-09 |
| 1548815012 | Neil James Drobitch | Physical Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2019-08-01 |
| 1124596978 | Husameddin Elmesallati Md Pllc | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-11-09 |
| 1619443025 | Hatim Gemil Md Pllc | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-10-23 |
| 1699254763 | Laura Fernandez Batres Garcia | Physical Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-08-09 |
| 1841779048 | Derek Clayton Kramer | Physical Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-08-08 |
| 1790264992 | Tonya Dedera | Occupational Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1245853019 | Mebe Nevada, LLC | Occupational Therapist | 3172 N Rainbow Blvd # 1230, Las Vegas, NV 89108-4534 | 2020-05-27 |
| 1457971913 | Olivia Dao | Occupational Therapist | 1285 E Cactus Ave, Las Vegas, NV 89183-7714 | 2020-04-24 |
| 1659907863 | Arian N Wiesen | Occupational Therapist | 1636 Palmales Ct, Las Vegas, NV 89128-3238 | 2020-03-19 |
| 1033743034 | Chloe Clare Peyton | Occupational Therapist | 10276 Jersey Shore Ave, Las Vegas, NV 89135-1153 | 2020-02-27 |
| 1750915732 | Brian Muradi | Occupational Therapist | 4471 Dean Martin Dr Unit 1400, Las Vegas, NV 89103-4235 | 2020-02-27 |
| 1184254377 | Christine Alise Recinto | Occupational Therapist | 7016 Rancho De Taos Ct, Las Vegas, NV 89130-1000 | 2020-01-16 |
| 1306486956 | Shaina Chamblin | Occupational Therapist | 2000 Turquoise Ridge St Unit 202, Las Vegas, NV 89117-6931 | 2020-01-12 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1124674205 | Childrens Occupational Therapy, Inc | Occupational Therapist | 9508 Mountainair Ave, Las Vegas, NV 89134-6219 | 2019-08-14 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.