Active NPI
Aimee Ruth Mackrill, P.T.A.
- Physical Therapy Assistant
- Omaha, NE
National Provider Identifier
1134416142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 931
- Practice address
- 530 S 26TH St
Omaha, NE 68105-4102 - Phone
- (402) 346-3344
- Fax
- (402) 346-1967
- NPI assigned
- Jun 29, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 931 | NE | Primary |
Addresses
Primary practice location
530 S 26TH St
Omaha, NE 68105-4102
Mailing address
530 S 26TH St
Omaha, NE 68105-4102
Phone (402) 346-3344
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 |
|---|---|---|---|
| 931 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1134416142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S 26TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681054102",
"telephone_number": "402-346-3344",
"fax_number": "402-346-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S 26TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681054102",
"telephone_number": "402-346-3344",
"fax_number": "402-346-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKRILL",
"first_name": "AIMEE",
"middle_name": "RUTH",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "931",
"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 Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.