Timothy Neil Muldoon, O.T.
Occupational Therapist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1154746907
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1154746907
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Neil Muldoon
- Credential
- O.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2014
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-2205 | NV | Yes |
Practice location
8585 S Eastern Ave Ste 100Las Vegas, NV 89123-2818
Phone 702-798-8585 · Fax 702-341-0109
Mailing address
601 E Hampden AveSte 500
Englewood, CO 80113-2771
Phone 303-774-7078 · Fax 303-777-4563
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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