Rachel L Anderson, DPT
Individual provider Active NPI Physical Therapist · Omaha, NE
NPI 1104368828 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1104368828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11034 (TN)
- Practice address
- 16120 W Dodge Rd
Omaha, NE 68118-2049 - Phone
- (402) 354-0410
- Fax
- (402) 354-0415
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Clinic Inc
Practice addresses (Care Compare)
16120 W Dodge Rd
Omaha, NE 68118-2049
Phone (402) 354-0550
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191120002878 | NE | Practitioner - Physical Therapist in Private Practice | 3476835687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11034 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Current |
Accepting new patients | |
| Star Physical Therapy LP | Past | Accepting new patients |
Locations
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
16120 W Dodge Rd
Ste 203
Omaha, NE 68118
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4019 | NE | |
| Physical Therapist | 225100000X | 11034 | TN | Yes |
Addresses
Primary practice location
16120 W Dodge Rd
Omaha, NE 68118-2049
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104368828 | Medicaid | IA |
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.