Active NPI
Justine Bucy, OTD, OTR/L
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1194273979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1976
- Practice address
- 13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124 - Phone
- (402) 330-3211
- Fax
- (402) 330-5970
- NPI assigned
- Sep 21, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1976 | NE | Primary |
Addresses
Primary practice location
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Mailing address
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone (402) 330-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47065477702 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7686 Walnut St
Omaha, NE 68124-1717
Phone (402) 819-8477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Makovicka Harms Group PC | Occupational 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1194273979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13336 INDUSTRIAL RD",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371124",
"telephone_number": "402-330-3211",
"fax_number": "402-330-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13336 INDUSTRIAL RD",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371124",
"telephone_number": "402-330-3211",
"fax_number": "402-330-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCY",
"first_name": "JUSTINE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47065477702",
"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 Sep 21, 2016; 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.