Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Speakeasy Therapy Services, LLC

Organization Occupational Therapist · NPI 1114315801

Speakeasy Therapy Services, LLC is an Occupational Therapist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2015.

Licensed in
NV
In the registry since
2015
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425
Phone: (702) 515-4009
Fax: (702) 553-3438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence NV20141234749 (NV)
Occupational Therapist Taxonomy 225X00000X · Licence NV20141234749 (NV)
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X · Licence NV20141234749 (NV)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence NV20141234749 (NV)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence NV20141234749 (NV)

Record details

NPI number1114315801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Carter — Owner · (702) 964-5800
NPI enumeratedJanuary 2, 2015
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address2490 Paseo Verde Pkwy Ste 155, Henderson, NV 89074-7120

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