Active NPI
Amber Dawn Lawrence, D.P.T.
- Physical Therapist
- Omaha, NE
National Provider Identifier
1083673354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208453
- Practice address
- 6902 Pine St
Omaha, NE 68106-2855 - Phone
- (402) 559-6415
- NPI assigned
- Mar 23, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2556 | HI | |
| Physical Therapist | 225100000X | 2391 | NE | |
| Physical Therapist | 225100000X | 2305208453 | VA | Primary |
Addresses
Primary practice location
6902 Pine St
Omaha, NE 68106-2855
Mailing address
11008 Edward St
Papillion, NE 68046-4493
Phone (402) 779-9238
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305208453 | Other | VA | PHYSICAL THERAPIST LICENSE |
| 2556 | Other | HI | PHYSICAL THERAPIST LICENSE - INACTIVE |
| 2391 | Other | NE | PHYSICAL THERAPIST LICENSE - INACTIVE |
Other names 1
- Miss Amber Dawn Ingram
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2556 | HI | MD | Physical Therapist |
| 2305208453 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1083673354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11008 EDWARD ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464493",
"telephone_number": "402-779-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6902 PINE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062855",
"telephone_number": "402-559-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "AMBER",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2556",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2391",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "2305208453",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE - INACTIVE",
"identifier": "2556",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE - INACTIVE",
"identifier": "2391",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "INGRAM",
"middle_name": "DAWN",
"prefix": "MISS",
"credential": "D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 13, 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.