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JERICHO J.R. SAMATRA BA
NPI 1124836564
Rehabilitation Practitioner in Las Vegas, NV

Active since December 18, 2024
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130(702) 385-5331 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jericho J.r. Samatra Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERICHO J.R. SAMATRA BA (NPI 1124836564) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1124836564
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJERICHO J.R. SAMATRACredential: BA
Location Address4285 N RANCHO DR STE 130Las Vegas, NV 89130-3455
Mailing Address10100 Elida RdDelphos, OH 45833-9056 · (419) 695-8010
Phone(702) 385-5331
Sole ProprietorNo
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1124836564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4285 N RANCHO DR STE 130, Las Vegas, NV 89130
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY KAY WHITE
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
BETHANY COPPA
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
KIMBERLY BOYD
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
BRIANNA T ARREDONDO MSW
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
MR. ERROL EDWARD SMALL JR. MA
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
JOAN V STUSSY MSW
Social Worker
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
WILLIAM SUDDUTH M ED., MFT
Marriage & Family Therapist
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331
YESENIA RAMIREZ
Rehabilitation Practitioner
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130
Clark County (702) 385-5331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jericho Samatra's NPI number?

The NPI number for Jericho Samatra is 1124836564. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Jericho Samatra located?

Jericho Samatra practices at 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130. The listed phone number is (702) 385-5331.

What is Jericho Samatra's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jericho Samatra was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.