Active NPI
Susan Marie Heaney, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1184692865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- NE2106
- Practice address
- 1910 S 72ND St
Ste 302
Omaha, NE 68124-1743 - Phone
- (402) 391-2635
- Fax
- (402) 391-0326
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | NE2106 | NE | Primary |
Addresses
Primary practice location
1910 S 72ND St
Ste 302
Omaha, NE 68124-1743
Mailing address
1910 S 72ND St
Ste 302
Omaha, NE 68124-1743
Phone (402) 391-2635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39567 | Other | NE | BCBS |
Other names 1
- Ms. Susan Marie Kluthe
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE2106 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Spine Clinic LLC | Physical Therapist | Past | Accepting new patients |
| Moving Well Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Omaha, NE
- NPI 1639117682
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184692865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 S 72ND ST",
"address_2": "STE 302",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241743",
"telephone_number": "402-391-2635",
"fax_number": "402-391-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 S 72ND ST",
"address_2": "STE 302",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241743",
"telephone_number": "402-391-2635",
"fax_number": "402-391-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEANEY",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "NE2106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "39567",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "KLUTHE",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.