Active NPI
Reina I Sebastian, OT
- Occupational Therapist
- Grand Island, NE
National Provider Identifier
1447828280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122279
- Practice address
- 923 W 7TH St
Grand Island, NE 68801-4101 - Phone
- (402) 840-0919
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 122279 | TX | Primary |
| Occupational Therapist | 225X00000X | 2618 | NE |
Addresses
Primary practice location
923 W 7TH St
Grand Island, NE 68801-4101
Mailing address
923 W 7TH St
Grand Island, NE 68801-4101
Phone (402) 840-0919
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2618 | NE | MD | Occupational Therapist |
| 122279 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1447828280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 W 7TH ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688014101",
"telephone_number": "402-840-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 W 7TH ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688014101",
"telephone_number": "402-840-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "REINA",
"middle_name": "I",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2022-02-16",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122279",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2618",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.