Carissa Herold, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

523 Issued in NE

Practice address

7686 Walnut St
Omaha, NE 68124-1717

Phone

(402) 819-8477

NPI assigned

Oct 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Key Physical Therapy PC

  • Physical Therapist
  • Omaha, NE
  • NPI 1710299169
  NPD

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1003781691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7686 WALNUT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241717",
            "telephone_number": "402-819-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 WALNUT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241717",
            "telephone_number": "402-819-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "CARISSA",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "1457",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teialana Hernandez
• Vanessa Hernandez
• Vianney Jeanette Hernandez
• Vivian Herndon, LIMHP
• Heroes Home Care of Nebraska
• Debra Herold, OTR/L
• George Herold
• Lourdes P Herold
• Brandy Heron
• Linda Renee Herout, AU.D.

• Physical Therapy Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.