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

Jacquelyn Mota Gutierrez

Individual provider Occupational Therapist · NPI 1376246264

Jacquelyn Mota Gutierrez is an Occupational Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Affiliated Physical Therapy, a 45-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

9050 W Cheyenne Ave Ste 210
Las Vegas, NV 89129-8932
Phone: (702) 209-0069
Fax: (702) 564-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-3181 (NV)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1376246264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Affiliated Physical Therapy — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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