Individual provider Active NPI

Cerena Jasmine Obra, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1043843220
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3521 Issued in NV
Practice address
9634 Lightheart Ave
Las Vegas, NV 89148-5517
Phone
(702) 468-8069
Fax
(833) 207-9284
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-3521 NV Primary

Addresses

Primary practice location

9634 Lightheart Ave
Las Vegas, NV 89148-5517

Mailing address

9634 Lightheart Ave
Las Vegas, NV 89148-5517
Phone (702) 468-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-3521NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Gregg, PLLC CurrentSince Oct 27, 2024 Accepting new patients
Center for Autism & Behavior Analysis, LLC PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1043843220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9634 LIGHTHEART AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485517",
            "telephone_number": "702-468-8069",
            "fax_number": "833-207-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 LIGHTHEART AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485517",
            "telephone_number": "702-468-8069",
            "fax_number": "833-207-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRA",
        "first_name": "CERENA JASMINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.