MEDICARE: DEASON SIERRA MEADOWS THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1235089095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEASON SIERRA MEADOWS THERAPY PLLC

Provider Business Mailing Address
First Line	:	732 S 6TH ST STE R
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W LIBERTY ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-2067
Country	:	US
Telephone Number	:	775-232-6359
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MEADOW DEASON
Credential	:	OTR/L
Telephone Number	:	775-232-6359

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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