Individual provider Active NPI

Maggie Sutter, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1194098988
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013470 Issued in OH
Practice address
11506 Nicholas St Ste 110
Omaha, NE 68154-4421
Phone
(877) 230-3885
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013470 OH Primary

Addresses

Primary practice location

11506 Nicholas St Ste 110
Omaha, NE 68154-4421

Mailing address

1154 Nature Run Rd
Batavia, OH 45103-1040
Phone (513) 600-1931

Other identifiers 1

IdentifierTypeStateIssuer
YED887599925OtherNEBLUE CROSS BLUE SHIELD OF NEBRASKA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411001710 OH Practitioner - Physical Therapist in Private Practice 1850765173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013470OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Big Physical Therapuetics and Wellness Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients
Fusion Medical Staffing 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.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1194098988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 NATURE RUN RD",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031040",
            "telephone_number": "513-600-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 NICHOLAS ST STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544421",
            "telephone_number": "877-230-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "MAGGIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NEBRASKA",
            "identifier": "YED887599925",
            "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 Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.