Active NPI
Amy S Isherwood, D.P.T.
- Physical Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2772
- Practice address
- 13809 Industrial Rd
Omaha, NE 68137-1117 - Phone
- (402) 932-7111
- Fax
- (402) 932-6878
- NPI assigned
- Jun 12, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2772 | NE | Primary |
Addresses
Primary practice location
13809 Industrial Rd
Omaha, NE 68137-1117
Mailing address
13809 Industrial Rd
Omaha, NE 68137-1117
Phone (402) 932-7111
Other practice location 1
1515 South 204th St
Suite 105
Elkhorn, NE 68022-6802
Phone (402) 721-1112
Other practice location 2
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone (402) 330-3211 ext. 119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100025381500 | Medicaid | NE | |
| 47065477701 | 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
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11532 Willow Park Dr
Suite 100
Gretna, NE 68028-6954
Phone (402) 934-2190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2772 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Makovicka Harms Group PC | Physical Therapist | Past | Accepting new patients |
| Procare3, Inc. | Past | Accepting new patients |
Locations
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
15767 Hadan Dr
Bennington, NE 68007
Phone (402) 238-2552
1405 N 205th St
Ste 140
Elkhorn, NE 68022
Phone (402) 289-5013
11532 Willow Park Dr
Ste 100
Gretna, NE 68028
Phone (402) 289-5013
Organizations & group practices 4
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.
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Physical Therapist
-
- Physical Therapist
- Omaha, NE
- NPI 1386879559
-
- Rehabilitation Practitioner
- Omaha, NE
- NPI 1942266945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1194952564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13809 INDUSTRIAL RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371117",
"telephone_number": "402-932-7111",
"fax_number": "402-932-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13809 INDUSTRIAL RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371117",
"telephone_number": "402-932-7111",
"fax_number": "402-932-6878"
}
],
"practiceLocations": [
{
"address_1": "1515 South 204th St",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Elkhorn",
"state": "NE",
"postal_code": "680226802",
"country_code": "US",
"telephone_number": "402-721-1112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13336 Industrial Rd",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681371124",
"country_code": "US",
"telephone_number": "402-330-3211 x119",
"fax_number": "402-330-5970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISHERWOOD",
"first_name": "AMY",
"middle_name": "S",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100025381500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47065477701",
"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 Nov 20, 2019; 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.