Jade Michelle Prochaska, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2598 Issued in NE

Practice address

1400 Mark Dr
Wahoo, NE 68066-4023

Phone

(402) 443-3737

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Occupational Therapist

  NPD
• Pando Geriatric Counseling, PC

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1700171741
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2021.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1194493676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13168 V RD",
            "city": "SHELBY",
            "state": "NE",
            "postal_code": "686625606",
            "telephone_number": "402-367-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MARK DR",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664023",
            "telephone_number": "402-443-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHASKA",
        "first_name": "JADE",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Thomas Nelson
• Lorance H. Newburn III, M.D.
• Andrew P Opp, M.D.
• Oxford Saunders House LLC
• Michele Lee Patterson
• Quadrant Dental Wahoo LLC
• Kaylee Madison Ricketts
• Ansley Bree Analise Roth, MS, BSN, RN, NBC-HWC
• Chelcie Lynn Roth
• Michael P Rowe

• All providers in Wahoo, NE
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.