Wayne Brian Centra, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-5499 Issued in CA

Practice address

3002 Dow Ave
114
Tustin, CA 92780-7233

Phone

(714) 731-4668

Fax

(714) 464-4668

NPI assigned

May 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Centra Pediatric Therapy

  • Pediatric Occupational Therapist
  • Tustin, CA
  • NPI 1902177025
  NPD Authorized official

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1841582020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE",
            "address_2": "114",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807233",
            "telephone_number": "714-731-4668",
            "fax_number": "714-464-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE",
            "address_2": "114",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807233",
            "telephone_number": "714-731-4668",
            "fax_number": "714-464-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTRA",
        "first_name": "WAYNE",
        "middle_name": "BRIAN",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT-5499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Cecrle, MA, LPC
• Jaqueline Celestino
• Center for Advanced Laparoscopic Surgery Inc
• Center for Evidence Based Treatment
• Centra Pediatric Therapy
• Cindy Cervantes
• Hilda Cervantes, NURSE PRACTITIONER
• Stephanie Cervantes
• Issac Chai, DC
• Marianna Chaidez

• Occupational Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.