Active NPI
Livia Hartigan, PT, DPT
- Physical Therapist
- Gretna, NE
National Provider Identifier
1104494756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4198
- Practice address
- 913 Village SQ
Gretna, NE 68028-7853 - Phone
- (402) 932-0747
- Fax
- (402) 991-5685
- NPI assigned
- Jun 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4198 | NE | Primary |
Addresses
Primary practice location
913 Village SQ
Gretna, NE 68028-7853
Mailing address
913 Village SQ
Gretna, NE 68028-7853
Phone (402) 932-0747
Other names 1
- Livia Dwornicki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Nebraska College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7686 Walnut St
Omaha, NE 68124-1717
Phone (402) 819-8477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4198 | NE | MD | Physical Therapist |
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 and National Provider Directory roles.
-
- Physical Therapist
- Omaha, NE
- NPI 1710299169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1104494756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 VILLAGE SQ",
"city": "GRETNA",
"state": "NE",
"postal_code": "680287853",
"telephone_number": "402-932-0747",
"fax_number": "402-991-5685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 VILLAGE SQ",
"city": "GRETNA",
"state": "NE",
"postal_code": "680287853",
"telephone_number": "402-932-0747",
"fax_number": "402-991-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTIGAN",
"first_name": "LIVIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIVIA",
"last_name": "DWORNICKI",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.