MEDICARE: MAX LEVEL PERFORMANCE

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	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1316880313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX LEVEL PERFORMANCE

Provider Business Mailing Address
First Line	:	9960 JUNIPER VALLEY ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-1406
Country	:	US
Telephone Number	:	702-351-7320
Fax Number	:

Provider Business Practice Location Address
First Line	:	9960 JUNIPER VALLEY ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-1406
Country	:	US
Telephone Number	:	702-351-7320
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	OMAR WILLIAMS
Credential	:
Telephone Number	:	702-351-7320

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “MAX LEVEL PERFORMANCE ” Practice Location

Language	Start Address	Practice Location

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