Active NPI
Lisa Dickinson
- Massage Therapist
- Lincoln, NE
National Provider Identifier
1104789478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1568
- Practice address
- 5955 S 56TH St
Lincoln, NE 68516-3355 - Phone
- (402) 429-6089
- NPI assigned
- Dec 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1568 | NE | Primary |
Addresses
Primary practice location
5955 S 56TH St
Lincoln, NE 68516-3355
Mailing address
28200 Brookie PL
Firth, NE 68358-6269
Phone (402) 429-6089
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1568 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1104789478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28200 BROOKIE PL",
"city": "FIRTH",
"state": "NE",
"postal_code": "683586269",
"telephone_number": "402-429-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 S 56TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163355",
"telephone_number": "402-429-6089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NE",
"license": "1568",
"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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.