Individual provider Active NPI

Lori Jean Thomas, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1174529580
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2015 Issued in NE
Practice address
2953 S 168TH St
Suite 100
Omaha, NE 68130-2000
Phone
(402) 829-5688
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2015 NE Primary
Physical Therapist 225100000X 03271 IA

Addresses

Primary practice location

2953 S 168TH St
Suite 100
Omaha, NE 68130-2000

Mailing address

2953 S 168TH St
Suite 100
Omaha, NE 68130-2000
Phone (402) 829-5688

Other identifiers 1

IdentifierTypeStateIssuer
P00453832OtherNEMEDIARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000171 NE Practitioner - Physical Therapist in Private Practice 8527093442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siegmund Physical Therapy PCGroup PAC ID 1254460496, 11 clinicians

Practice addresses (Care Compare)

19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone (402) 504-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015NEMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Siegmund Physical Therapy, PC Physical Therapist CurrentSince Feb 14, 2024 Accepting new patients
Leading Edge, Inc Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Rehabvisions Therapy Mo LLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Excel Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

19111 Mason Plz
Elkhorn, NE 68022
Phone (402) 504-9797

11336 S 96th St
Ste 114
Papillion, NE 68046
Phone (402) 315-3603

Organizations & group practices 4

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1174529580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 S 168TH ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302000",
            "telephone_number": "402-829-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 S 168TH ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302000",
            "telephone_number": "402-829-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2015",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE RR",
            "identifier": "P00453832",
            "state": "NE"
        }
    ],
    "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 3, 2008; 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.