ANITA AISHA OBEHI MOMODU
NPI 1558776914
Rehabilitation Practitioner in Las Vegas, NV
- Individual
- Female
- Rehabilitation Practitioner
About ANITA MOMODU
This page provides the complete NPI Profile along with additional information for Anita Momodu, a provider established in Las Vegas, Nevada with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1558776914 assigned on June 2014. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1558776914 Verify this NPI
- Provider Name
- ANITA AISHA OBEHI MOMODU
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8615 ISLA VISTA VALLEY CT LAS VEGAS, NV 89178
- Location Phone
- (702) 325-9756
- Mailing Address
- 8615 ISLA VISTA VALLEY CT LAS VEGAS, NV 89178
- Mailing Phone
- (702) 325-9756
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-24-2014
- Last Update Date
- 03-11-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558776914, enumerated as an "individual" on June 24, 2014.
The provider is located at 8615 ISLA VISTA VALLEY CT LAS VEGAS, NV 89178 and the phone number is (702) 325-9756.
Rehabilitation Practitioner with taxonomy code 225400000X.
