Individual provider Active NPI

Victoria Jae-Eun Jo, OTD, OTR/L, M.ED

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1992468375
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2846 Issued in NV
Practice address
9348 Vista Waters LN
Las Vegas, NV 89178-5538
Phone
(702) 606-2089
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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-2846 NV Primary

Addresses

Primary practice location

9348 Vista Waters LN
Las Vegas, NV 89178-5538

Mailing address

8035 Terra Barossa St
Las Vegas, NV 89113-4143
Phone (702) 606-2089

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
OT-2846NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands OT Occupational Therapist CurrentSince Mar 6, 2022 Accepting new patients

Organizations & group practices 1

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1992468375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 TERRA BAROSSA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134143",
            "telephone_number": "702-606-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 VISTA WATERS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891785538",
            "telephone_number": "702-606-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "VICTORIA",
        "middle_name": "JAE-EUN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2846",
            "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 Apr 17, 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.

Verify at the official NPI Registry.