Individual provider Active NPI

Adam James Rawson, OTD, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1043753395
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
2020 Issued in NE
Practice address
3940 Cornhusker Hwy Ste 200
Lincoln, NE 68504-1509
Phone
(402) 904-4474
Fax
(402) 318-3154
NPI assigned
Nov 18, 2016
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 2020 NE Primary

Addresses

Primary practice location

3940 Cornhusker Hwy Ste 200
Lincoln, NE 68504-1509

Mailing address

3940 Cornhusker Hwy Ste 200
Lincoln, NE 68504-1509
Phone (402) 904-4474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200420001677 NE Practitioner - Occupational Therapist in Private Practice 9739518747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Lymphedema and Occupational Therapy LLCGroup PAC ID 8426488222, 15 clinicians

Practice addresses (Care Compare)

3940 Cornhusker Hwy
Suite 200
Lincoln, NE 68504-1509
Phone (402) 904-4474

4131 Pioneer Woods Dr
Suite 101
Lincoln, NE 68506-7556
Phone (402) 904-4474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1043753395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CORNHUSKER HWY STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041509",
            "telephone_number": "402-904-4474",
            "fax_number": "402-318-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 CORNHUSKER HWY STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041509",
            "telephone_number": "402-904-4474",
            "fax_number": "402-318-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NE",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2023; 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.