IndividualActive
Amanda Young
NPI 1104325612 · Occupational Therapist · Las Vegas, NV
Provider details
- NPI number
- 1104325612
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9050 W Cheyenne Ave Ste 210
Las Vegas, NV 89129-8932
Phone: (702) 209-0069
Street-level locationGet directions
Mailing address
1805 Crystal Glen Ct
Las Vegas, NV 89117-1808
Registry dates
- Enumerated
- 2018-02-09
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.