Individual provider Active NPI

Amy Elizabeth Mayer, OTD, OTR/L, RYT

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1174273908
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
757 Issued in NE
Practice address
4060 Vinton St Ste 200
Omaha, NE 68105-3863
Phone
(402) 651-9719
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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 757 NE Primary

Addresses

Primary practice location

4060 Vinton St Ste 200
Omaha, NE 68105-3863

Mailing address

4060 Vinton St Ste 200
Omaha, NE 68105-3863
Phone (402) 651-9719

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securelink Other

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

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1174273908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 VINTON ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681053863",
            "telephone_number": "402-651-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 VINTON ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681053863",
            "telephone_number": "402-651-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L, RYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securelink",
            "affiliation": "N",
            "endpointDescription": "link to folder",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Receipt",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Receipt",
            "address_1": "4060 Vinton St Ste 200",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681053863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.