Individual provider Active NPI

Carol Lynn Ortlieb, P.T.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1033265459
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1841 Issued in NE
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

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00926896OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000556 NE Practitioner - Physical Therapist in Private Practice 6406045020 Reassigns benefits to 1 organization

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
Prairie Orthopaedic and Plastic Surgery PCGroup PAC ID 0345344818, 23 clinicians

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 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
84.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1841NEMDOccupational Therapist
8071COMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Orthopaedic & Plastic Surgery, PC CurrentSince Mar 15, 2012 Accepting new patients
Prairie Orthopaedic & Plastic Surgery, P.C. Physical Therapist CurrentSince Mar 15, 2012 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.

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.

Verify at the official NPI Registry.