Individual provider Active NPI

Heather L Dempsey, DPT

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1003198714
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3529 Issued in NE
Practice address
19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone
(402) 504-9797
Fax
(402) 504-9882
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3529 NE Primary

Addresses

Primary practice location

19111 Mason PLZ
Elkhorn, NE 68022-5659

Mailing address

19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone (402) 504-9797

Other practice location 1

17500 Burke St
Omaha, NE 68118-2244
Phone (402) 401-3900

Other practice location 2

410 E 22nd St
Fremont, NE 68025-2609
Phone (402) 721-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412002307 NE Practitioner - Physical Therapist in Private Practice 0143494278 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siegmund Physical Therapy PCGroup PAC ID 1254460496, 11 clinicians

Practice addresses (Care Compare)

19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone (402) 504-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Siegmund Physical Therapy, PC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Community Rehab LLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Procare3, Inc. CurrentSince Jul 16, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

19111 Mason Plz
Elkhorn, NE 68022
Phone (402) 504-9797

410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908

4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

4630 S 132nd St
Omaha, NE 68137
Phone (402) 330-7891

545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1003198714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-504-9797",
            "fax_number": "402-504-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 MASON PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225659",
            "telephone_number": "402-504-9797",
            "fax_number": "402-504-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17500 Burke St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681182244",
            "country_code": "US",
            "telephone_number": "402-401-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252609",
            "country_code": "US",
            "telephone_number": "402-721-3908",
            "fax_number": "402-721-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.