ASIA SURIYACHOTTAKUL BOUDDHARA
NPI 1689494023
Occupational Therapist in Las Vegas, NV

Active since October 11, 2024Accepts Medicare Assignment
4000 S EASTERN AVE STE 300, LAS VEGAS, NV 89119(702) 734-2732(702) 737-1453 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Mar 10, 2026, Oct 11, 2024 (3 updates tracked since 2024).

About Asia Suriyachottakul Bouddhara NPPES

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

ASIA SURIYACHOTTAKUL BOUDDHARA (NPI 1689494023) is an individual occupational therapist in Las Vegas, Nevada and active in the NPI registry since October 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1689494023
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameASIA SURIYACHOTTAKUL BOUDDHARA
Location Address4000 S EASTERN AVE STE 300Las Vegas, NV 89119-0826
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909
Fax(702) 737-1453
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 11, 2024
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1689494023 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.
4000 S EASTERN AVE STE 300, Las Vegas, NV 89119

Other Names 1

Former Name (1)Asia Suriyachottakul

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

Asia Suriyachottakul Bouddhara 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 ID4587197868
PECOS Enrollment IDI20241024002802

Medicare Billing Reassignments

2

Medicare enrollment records show Asia Suriyachottakul Bouddhara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
3831 W CHARLESTON BLVD
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 63 clinicians in this Medicare group
Physical Therapist
7301 PEAK DRIVE, SUITE 150
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 176 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 8

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

Physical Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Occupational Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119
Occupational Therapist
4000 S EASTERN AVE STE 300
LAS VEGAS, NV 89119

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 Asia Suriyachottakul Bouddhara's NPI number?

The NPI number for Asia Suriyachottakul Bouddhara is 1689494023. It was assigned to this individual provider in the NPPES registry on October 11, 2024. The provider is also known as Asia Suriyachottakul.

Where is Asia Suriyachottakul Bouddhara located?

Asia Suriyachottakul Bouddhara practices at 4000 S Eastern Ave Ste 300, Las Vegas, NV 89119. The listed phone number is (702) 734-2732.

What is Asia Suriyachottakul Bouddhara's specialty?

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

Is Asia Suriyachottakul Bouddhara enrolled in Medicare?

Yes. Asia Suriyachottakul Bouddhara 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 organizations bill Medicare for Asia Suriyachottakul Bouddhara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asia Suriyachottakul Bouddhara reassigns Medicare benefits to 2 organizations: Chynoweth Hill And Leavitt LLC (Las Vegas, NV) and New Century Rehabilitation LLC (Las Vegas, NV). Each 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 Asia Suriyachottakul Bouddhara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asia Suriyachottakul Bouddhara accept?

Health plans from Ambetter from Arizona Complete Health list Asia Suriyachottakul Bouddhara 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 Asia Suriyachottakul Bouddhara was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.