Active NPI
Sarah Prusmack, OTR/L, CLT
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1316212863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1174
- Practice address
- 5007 N 105TH St
Omaha, NE 68134-2408 - Phone
- (402) 201-7954
- NPI assigned
- Mar 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01711 | IA | |
| Occupational Therapist | 225X00000X | 1174 | NE | Primary |
Addresses
Primary practice location
5007 N 105TH St
Omaha, NE 68134-2408
Mailing address
5007 N 105TH St
Omaha, NE 68134-2408
Phone (402) 201-7954
Other names 1
- Sarah Huffman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1174 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Mobile PT LLC | Occupational Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1316212863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 N 105TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342408",
"telephone_number": "402-201-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 N 105TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342408",
"telephone_number": "402-201-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSMACK",
"first_name": "SARAH",
"credential": "OTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01711",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "HUFFMAN",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.