NPIMap

Organization Active NPI

Children's Rehab - Occupational Therapy

  • Pediatric Occupational Therapist
  • Omaha, NE
National Provider Identifier
1003140732
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CHILDREN'S REHAB - OCCUPATIONAL THERAPY
Practice address
17809 Pierce PLZ
Children's Rehab - Occupational Therapy
Omaha, NE 68130-1035
Phone
(402) 955-8355
Fax
(402) 955-8656
NPI assigned
Sep 29, 2009
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL & MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Lori Knight
Title
Credentialing Specialist
Phone
(402) 955-6903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

17809 Pierce PLZ
Children's Rehab - Occupational Therapy
Omaha, NE 68130-1035

Mailing address

8200 Dodge St
Children's Hospital & Medical Center
Omaha, NE 68114-4113
Phone (402) 955-5400

National Provider Directory

National Provider Directory
Tax ID family
Jon a Vanderhoof MD23 organizations share this tax ID, including this one
Part of
Jon a Vanderhoof MD

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1003140732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 DODGE ST",
            "address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 PIERCE PLZ",
            "address_2": "CHILDREN'S REHAB - OCCUPATIONAL THERAPY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301035",
            "telephone_number": "402-955-8355",
            "fax_number": "402-955-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S REHAB - OCCUPATIONAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
        "enumeration_date": "2009-09-29",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "402-955-6903"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.