Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keanne Alysse Prollamante, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1255156782

Keanne Alysse Prollamante, OTD, OTR/L is an Occupational Therapist in Private Practice in Henderson, Nevada. Qualified in 2024, 2 years ago. Practices with Affiliated Physical Therapy, a 45-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2401 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2707
Phone: (702) 458-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1255156782
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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 Affiliated Physical Therapy — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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