Active NPI
Lauren M Watson, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1023339942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3521
- Practice address
- 6307 Center St
105
Omaha, NE 68106-3458 - Phone
- (402) 932-6791
- NPI assigned
- Jun 15, 2010
- Last updated
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05010318A | IN | |
| Physical Therapist | 225100000X | 12183-24 | WI | |
| Physical Therapist | 225100000X | 3521 | NE | Primary |
Addresses
Primary practice location
6307 Center St
105
Omaha, NE 68106-3458
Mailing address
PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239270 | Medicaid | IN |
Other names 1
- Lauren M Hawks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 32.9 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 59.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3521 | NE | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Makovicka Physical Therapy
- Physical Therapist
- Papillion, NE
- NPI 1093077000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1023339942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34669",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340669",
"telephone_number": "402-932-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6307 CENTER ST",
"address_2": "105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063458",
"telephone_number": "402-932-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "LAUREN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010318A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12183-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100239270",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "HAWKS",
"middle_name": "M",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.