Active NPI
Tammy Jean Consbruck, OTD
- Occupational Therapist
- Gretna, NE
National Provider Identifier
1225305642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1209
- Practice address
- 700 S Highway 6
Gretna, NE 68028-7970 - Phone
- (402) 332-3446
- NPI assigned
- Nov 30, 2011
- Last updated
- Nov 30, 2011
- 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 | 1209 | NE | Primary |
Addresses
Primary practice location
700 S Highway 6
Gretna, NE 68028-7970
Mailing address
20714 Locust St
Gretna, NE 68028-3526
Phone (402) 502-9719
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1225305642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20714 LOCUST ST",
"city": "GRETNA",
"state": "NE",
"postal_code": "680283526",
"telephone_number": "402-502-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S HIGHWAY 6",
"city": "GRETNA",
"state": "NE",
"postal_code": "680287970",
"telephone_number": "402-332-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSBRUCK",
"first_name": "TAMMY",
"middle_name": "JEAN",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.