KEANNE ALYSSE PROLLAMANTE OTD, OTR/L
NPI 1255156782
Occupational Therapist in Henderson, NV

Active since November 19, 2024Accepts Medicare Assignment
2401 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052(702) 458-1300 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keanne Alysse Prollamante Otd, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEANNE ALYSSE PROLLAMANTE OTD, OTR/L (NPI 1255156782) is an individual occupational therapist in Henderson, Nevada and active in the NPI registry since November 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1255156782
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKEANNE ALYSSE PROLLAMANTECredential: OTD, OTR/L
Location Address2401 W HORIZON RIDGE PKWY STE 100Henderson, NV 89052-2707
Mailing Address11215 Gammila DrLas Vegas, NV 89141-0435 · (702) 378-6741
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1255156782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2401 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keanne Alysse Prollamante Otd, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789110883
PECOS Enrollment IDI20241212002932

Medicare Billing Reassignment

Medicare enrollment records show Keanne Prollamante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3840 W ANN RD STE 101B
North Las Vegas, NV 89031
  • Reassigned Medicare billing, Nevada enrollment
  • 53 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2401 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Physical Therapist
2401 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Physical Therapist
2401 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keanne Prollamante's NPI number?

The NPI number for Keanne Prollamante is 1255156782. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Keanne Prollamante located?

Keanne Prollamante practices at 2401 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052. The listed phone number is (702) 458-1300.

What is Keanne Prollamante's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Keanne Prollamante enrolled in Medicare?

Yes. Keanne Prollamante is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keanne Prollamante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keanne Prollamante reassigns Medicare benefits to Affiliated Physical Therapy (North Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keanne Prollamante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keanne Prollamante accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Keanne Prollamante as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keanne Prollamante was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.