NPIMap

Organization Active NPI

Omaha Occupational and Speech Therapy, PC

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1073012860
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1264 Issued in NE
Legal business name
OMAHA OCCUPATIONAL AND SPEECH THERAPY, PC
Practice address
14214 Vane St
Omaha, NE 68142-2140
Phone
(402) 871-4068
NPI assigned
Feb 7, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Kerrie Ivey, OTD, OTR/LNPI 1679806400
Title
Occupational Therapist/President
Phone
(402) 718-5728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1264 NE Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1498 NE
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1138 NE

Addresses

Primary practice location

14214 Vane St
Omaha, NE 68142-2140

Mailing address

14214 Vane St
Omaha, NE 68142-2140
Phone (402) 871-4068

National Provider Directory

National Provider Directory

Locations

3672 Lexington Ave
Bellevue, NE 68123
Phone (402) 243-1526

3672 Lexington Ave
Ste 2
Bellevue, NE 68123

1110 N 66th St
Omaha, NE 68132

15505 Ruggles St
Omaha, NE 68116
Phone (402) 968-3263

15505 Ruggles St
Ste 109
Omaha, NE 68116
Phone (531) 466-3121

3516 N 163rd Plz
Ste 2
Omaha, NE 68116

6316 N 30th St
Omaha, NE 68111

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1073012860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14214 VANE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681422140",
            "telephone_number": "402-871-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14214 VANE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681422140",
            "telephone_number": "402-871-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA OCCUPATIONAL AND SPEECH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "402-718-5728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1264",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1498",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1138",
            "primary": false
        }
    ],
    "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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.