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

Individual provider Occupational Therapist · NPI 1689494023

Asia Suriyachottakul Bouddhara is an Occupational Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Chynoweth Hill and Leavitt LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
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Practice location Address checks out

4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
Phone: (702) 734-2732
Fax: (702) 737-1453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (NV)

Record details

NPI number1689494023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2024
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Chynoweth Hill And Leavitt Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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