Active NPI
Samuel Dominic Troia II, OTD OTR/L
- Pediatric Occupational Therapist
- Omaha, NE
National Provider Identifier
1023842002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 12100 W Center Rd Ste 518
Omaha, NE 68144-3960 - Phone
- (402) 933-2882
- NPI assigned
- Aug 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2603 | NE | |
| Pediatric Occupational Therapist | 225XP0200X | NE | Primary |
Addresses
Primary practice location
12100 W Center Rd Ste 518
Omaha, NE 68144-3960
Mailing address
26615 Blondo CT
Waterloo, NE 68069-6215
Phone (402) 699-0095
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 |
|---|---|---|---|
| 2603 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1023842002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26615 BLONDO CT",
"city": "WATERLOO",
"state": "NE",
"postal_code": "680696215",
"telephone_number": "402-699-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 W CENTER RD STE 518",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443960",
"telephone_number": "402-933-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROIA",
"first_name": "SAMUEL",
"middle_name": "DOMINIC",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "OTD OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NE",
"license": "2603",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NE",
"license": null,
"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 Aug 30, 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.