Fully Alive Occupational Therapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FULLY ALIVE OCCUPATIONAL THERAPY

Practice address

1002 E Philip Ave
North Platte, NE 69101-6104

Phone

(308) 532-4940

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Marcie Minchow, OT

Title

Occupational Therapy

Phone

(308) 660-7867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fully Alive Occupational Therapy Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcie A Rose, OT

  • Occupational Therapist
  • Lincoln, NE
  • NPI 1629549860
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1003388802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W F ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015231",
            "telephone_number": "308-660-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E PHILIP AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016104",
            "telephone_number": "308-532-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY ALIVE OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "MINCHOW",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "308-660-7867",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1629549860",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fully Alive Occupational Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott W French, OD
• Megan Roxanne Frickel, DPT
• Amber Friedrich
• Frontier Home Medical, Inc
• Kelsey Frye
• Elizabeth Marie Furman
• Michael Allen Furmanski Sr., DDS
• Alexis Gabel
• Elison Rae Gaedke
• James S Gale, D.C.

• Clinic/Center in North Platte, NE
• Providers in North Platte, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.