Active NPI
Tyler Pribnow, OTD, OTR/L
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1023559622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1831
- Practice address
- 10858 W Dodge Rd
Omaha, NE 68154-2609 - Phone
- (402) 614-7500
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1831 | NE | Primary |
Addresses
Primary practice location
10858 W Dodge Rd
Omaha, NE 68154-2609
Mailing address
10858 W Dodge Rd
Omaha, NE 68154-2609
Other practice location 1
17500 Burke St
Omaha, NE 68118-2244
Phone (402) 401-3900 ext. 13609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1831 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab, P.C. | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Omaha, NE
- NPI 1003990854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1023559622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10858 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10858 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542609",
"telephone_number": "402-614-7500"
}
],
"practiceLocations": [
{
"address_1": "17500 Burke St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681182244",
"country_code": "US",
"telephone_number": "402-401-3900 x13609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIBNOW",
"first_name": "TYLER",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-15",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.