Active NPI
Emily Herout
- Physical Therapy Assistant
- Elkhorn, NE
National Provider Identifier
1215642145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2012
- Practice address
- 19111 Mason PLZ
Elkhorn, NE 68022-5659 - Phone
- (402) 504-9797
- NPI assigned
- Jan 16, 2023
- Last updated
- Jan 17, 2023
- 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 Therapy Assistant | 225200000X | 2012 | NE | Primary |
Addresses
Primary practice location
19111 Mason PLZ
Elkhorn, NE 68022-5659
Mailing address
12067 Jackson St
Omaha, NE 68154-3066
Phone (402) 707-5133
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012 | NE | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siegmund Physical Therapy, PC | Current | Accepting new patients |
Locations
19111 Mason Plz
Elkhorn, NE 68022
Phone (402) 504-9797
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Omaha, NE
- NPI 1306178447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1215642145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12067 JACKSON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543066",
"telephone_number": "402-707-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19111 MASON PLZ",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225659",
"telephone_number": "402-504-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROUT",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "2012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.