Individual provider Active NPI

Kalee Lucy, MOT, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1114799897
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2862 Issued in NE
Practice address
4626 S 132ND St
Omaha, NE 68137-1764
Phone
(402) 330-7891
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2862 NE Primary

Addresses

Primary practice location

4626 S 132ND St
Omaha, NE 68137-1764

Mailing address

18777 238TH St
Council Bluffs, IA 51503-8666
Phone (402) 689-8138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130002907 NE Practitioner - Occupational Therapist in Private Practice 1355794900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare 3 IncGroup PAC ID 3072586254, 31 clinicians

Practice addresses (Care Compare)

4606 S 132ND St
Omaha, NE 68137-1764
Phone (402) 330-3211

4614 S 132ND St
Omaha, NE 68137-1764

545 Fortune Dr
Suite 100
Papillion, NE 68046-3426
Phone (402) 991-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Procare3, Inc. CurrentSince Jan 10, 2024 Accepting new patients

Locations

4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

4626 S 132nd St
Omaha, NE 68137
Phone (402) 210-5409

545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333

545 Fortune Dr
Papillion, NE 68046
Phone (402) 991-0333

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.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1114799897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18777 238TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515038666",
            "telephone_number": "402-689-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371764",
            "telephone_number": "402-330-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCY",
        "first_name": "KALEE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2862",
            "primary": true
        }
    ],
    "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 Apr 22, 2025; 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.

Verify at the official NPI Registry.