Children'S Rehab - Occupational Therapy

Organization Active NPI Pediatric Occupational Therapist · Omaha, NE

NPI 1003140732 · NPPES record last updated Mar 4, 2016

Key facts

NPI
1003140732
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Occupational Therapist 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
Organization subpart
Yes
Parent organization (as reported)
CHILDREN'S HOSPITAL & MEDICAL CENTER

Authorized official

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

Corporate family (same tax ID) 22

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

National Provider Directory

Tax ID family
Andrea J Steenson MD (23 organizations share this tax ID)
Part of
Andrea J Steenson MD

Locations

17809 Pierce Plz
Omaha, NE 68130
Phone (402) 955-8181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225XP0200X Yes

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

Other identifiers

IdentifierTypeStateIssuer
10025747500MedicaidNE

Other providers in Omaha, NE

All providers in Omaha, NE · Pediatric Occupational Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.