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

Speakeasy Therapy Services, LLC

Organization Pediatrics Physician · NPI 1801627823

Speakeasy Therapy Services, LLC is a Pediatrics Physician in Henderson, Nevada. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
9
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

2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120
Phone: (702) 515-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Occupational Therapist Taxonomy 225X00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1801627823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Carter — Owner · (702) 964-5800
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address2490 Paseo Verde Pkwy Ste 155, Henderson, NV 89074-7120

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