Individual provider Active NPI

Anthony Flores, OTR/L

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1174050363
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2001 Issued in NE
Practice address
1230 Aries Dr Ste D
Lincoln, NE 68512-9615
Phone
(402) 434-5895
Fax
(402) 434-5899
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2017

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 2001 NE Primary

Addresses

Primary practice location

1230 Aries Dr Ste D
Lincoln, NE 68512-9615

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 382-0344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523000453 NE Practitioner - Occupational Therapist in Private Practice 5395012371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

5000 N 26TH St
Suite 400
Lincoln, NE 68521-4768
Phone (402) 742-8410

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
71.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy, LLC CurrentSince Jun 19, 2017 Accepting new patients
The Physician Network PastSince Oct 5, 2015 Accepting new patients

Locations

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

1230 Aries Dr
Ste D
Lincoln, NE 68512
Phone (402) 434-5895

4055 Yankee Hill Rd
Lincoln, NE 68516
Phone (402) 328-6300

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

5000 N 26th St
Ste 400
Lincoln, NE 68521
Phone (402) 742-8410

Organizations & group practices 2

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1174050363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-382-0344",
            "fax_number": "308-382-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ARIES DR STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129615",
            "telephone_number": "402-434-5895",
            "fax_number": "402-434-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANTHONY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2001",
            "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 May 18, 2017; 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.