Active NPI
Chad Isaacson, OTR/L
- Occupational Therapist
- Minden, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 882
- Practice address
- 244 N Minden Ave
Minden, NE 68959-1643 - Phone
- (308) 832-1500
- Fax
- (308) 832-1551
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- 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 | 882 | NE | Primary |
Addresses
Primary practice location
244 N Minden Ave
Minden, NE 68959-1643
Mailing address
244 N Minden Ave
Minden, NE 68959-1643
Phone (308) 832-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882 | Other | NE | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100201000750 | NE | Practitioner - Occupational Therapist in Private Practice | 2062555915 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Physical Therapy and Sports Center
Practice addresses (Care Compare)
211 W 33Rd St
Suite a
Kearney, NE 68845-3485
Phone (308) 236-5884
244 N Minden Ave
Minden, NE 68959-1643
Phone (308) 832-1500
620 E 25TH St
Suite 7
Kearney, NE 68847-5529
Phone (308) 455-1781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Physical Therapy & Sports Center | Current | Accepting new patients | |
| Family Physical Therapy & Sports Center | Current | Accepting new patients | |
| Family Physical Therapy & Sports Center | Occupational Therapist | Past | Accepting new patients |
| Family Physical Therapy & Sports Center | Past | Accepting new patients |
Locations
615 W 39th St
Ste A
Kearney, NE 68845
Phone (308) 698-2820
211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884
3500 Central Ave
Ste C1
Kearney, NE 68847
Phone (308) 865-9200
110 W 5th St
Lexington, NE 68850
Phone (308) 324-3700
244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500
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.
-
- Chiropractor
- Kearney, NE
- NPI 1326551532
-
- Physical Therapist
- Kearney, NE
- NPI 1407038375
Occupational Therapist
-
- Physical Therapist
- Ravenna, NE
- NPI 1942417852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1336376334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 N MINDEN AVE",
"city": "MINDEN",
"state": "NE",
"postal_code": "689591643",
"telephone_number": "308-832-1500",
"fax_number": "308-832-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 N MINDEN AVE",
"city": "MINDEN",
"state": "NE",
"postal_code": "689591643",
"telephone_number": "308-832-1500",
"fax_number": "308-832-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "CHAD",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "882",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minden, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.