Individual provider Active NPI

Karen Sue Tesarek

  • Occupational Therapist
  • Plattsmouth, NE
National Provider Identifier
1184903254
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1375 Issued in NE
Practice address
1022 Beaver Lake Blvd
Plattsmouth, NE 68048-4709
Phone
(402) 235-3189
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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 1375 NE Primary

Addresses

Primary practice location

1022 Beaver Lake Blvd
Plattsmouth, NE 68048-4709

Mailing address

1022 Beaver Lake Blvd
Plattsmouth, NE 68048-4709

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

LicenseStateTypeSpecialty
1375NEMDOccupational Therapist
002181IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Jun 7, 2024 Accepting new patients
Pando Geriatric Counseling, PC Past Accepting new patients

Locations

6991 S 178th Plz
Omaha, NE 68136
Phone (402) 819-0669

4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1184903254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BEAVER LAKE BLVD",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680484709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BEAVER LAKE BLVD",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680484709",
            "telephone_number": "402-235-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESAREK",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.