Active NPI
Carol Lynn Ortlieb, P.T.
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1033265459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1841
- Practice address
- 4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552 - Phone
- (402) 489-4700
- Fax
- (402) 489-5220
- NPI assigned
- Jan 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1841 | NE | Primary |
Addresses
Primary practice location
4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552
Mailing address
4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552
Phone (402) 489-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00926896 | Other | NE | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4130 Pioneer Woods Dr
Suite 1
Lincoln, NE 68506-7552
Phone (402) 489-4700
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.31 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1841 | NE | MD | Occupational Therapist |
| 8071 | CO | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Orthopaedic & Plastic Surgery, PC | Current | Accepting new patients | |
| Prairie Orthopaedic & Plastic Surgery, P.C. | Physical Therapist | Current | Accepting new patients |
| Premier Bone & Joint | Past | Accepting new patients | |
| Community Rehab LLC | Physical Therapist | Past | Accepting new patients |
Locations
4130 Pioneer Woods Dr
Ste 1
Lincoln, NE 68506
Phone (402) 489-4700
1730 S 70th St
Ste 100
Lincoln, NE 68506
Phone (402) 489-4700
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1639206147
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1174243489
-
- Physical Therapist
- South Sioux City, NE
- NPI 1932218773
-
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1588674725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1033265459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DR STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-489-4700",
"fax_number": "402-489-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DR STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-489-4700",
"fax_number": "402-489-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTLIEB",
"first_name": "CAROL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00926896",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.