KATHLEEN MARAVILLAS
NPI 1689047623
Rehabilitation Practitioner in Las Vegas, NV

Active since November 12, 2015
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144(702) 769-2781(725) 214-6529 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Nov 12, 2015 (2 updates tracked since 2015).

About Kathleen Maravillas NPPES

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

KATHLEEN MARAVILLAS (NPI 1689047623) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since November 2015. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1689047623
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKATHLEEN MARAVILLAS
Location Address1180 N TOWN CENTER DR STE 100Las Vegas, NV 89144-6308
Mailing Address1180 N Town Center Dr Ste 100Las Vegas, NV 89144-6308 · (702) 769-2781 · Fax (725) 214-6529
Fax(725) 214-6529
Sole ProprietorYes
Enumeration DateNovember 12, 2015
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1689047623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

1180 N TOWN CENTER DR STE 100, Las Vegas, NV 89144

Secondary Practice Location 1

Location 19999 W Katie Ave Unit 1313Las Vegas, NV 89147-8352 · Phone (702) 769-2781 · Fax (702) 586-2504

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Community/Behavioral Health
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Durable Medical Equipment & Medical Supplies
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Nurse Practitioner (Family)
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Counselor (Addiction (Substance Use Disorder))
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Internal Medicine (Geriatric Medicine)
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Clinic/Center (Adult Mental Health)
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144
Psychiatry & Neurology (Psychiatry)
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV 89144

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 Kathleen Maravillas's NPI number?

The NPI number for Kathleen Maravillas is 1689047623. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Where is Kathleen Maravillas located?

Kathleen Maravillas practices at 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144. The listed phone number is (702) 769-2781.

What is Kathleen Maravillas's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Kathleen Maravillas was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.