Active NPI
The Self-Care OT
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1619858925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- THE SELF-CARE OT
- Practice address
- 9643 Peggy Publow Ave
Las Vegas, NV 89143-1294 - Phone
- (276) 275-3933
- NPI assigned
- Sep 11, 2025
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Ketron Cusano, OTR
- Title
- Occupational Therapist
- Phone
- (276) 275-3933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
9643 Peggy Publow Ave
Las Vegas, NV 89143-1294
Mailing address
9643 Peggy Publow Ave
Las Vegas, NV 89143-1294
Phone (276) 275-3933
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Las Vegas, NV
- NPI 1629723341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1619858925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9643 PEGGY PUBLOW AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891431294",
"telephone_number": "276-275-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9643 PEGGY PUBLOW AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891431294",
"telephone_number": "276-275-3933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SELF-CARE OT",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KETRON CUSANO",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "276-275-3933",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.