Active NPI
Suzanne Mary Almquist, OT
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1184743320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 812
- Practice address
- 1540 N 72ND St
Omaha, NE 68114-1924 - Phone
- (402) 398-3958
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 812 | NE | Primary |
| Occupational Therapist | 225X00000X | 01045 | IA |
Addresses
Primary practice location
1540 N 72ND St
Omaha, NE 68114-1924
Mailing address
9164 Sprague St
Omaha, NE 68134-4053
Phone (402) 558-7203
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00436 | Other | NE | BLUE CROSS & BLUE SHEILD |
| 0659987 | Medicaid | IA | |
| 47-0707622-00 | Medicaid | NE | |
| 47-0707622-01 | Medicaid | NE |
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 |
|---|---|---|---|
| 01045 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1184743320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9164 SPRAGUE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344053",
"telephone_number": "402-558-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141924",
"telephone_number": "402-398-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMQUIST",
"first_name": "SUZANNE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "812",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01045",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHEILD",
"identifier": "00436",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0659987",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-0707622-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-0707622-01",
"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 Jul 9, 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.