Individual provider Active NPI

Olivia Vander Haar, OT

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1346068871
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2958 Issued in NE
Practice address
7686 Walnut St
Omaha, NE 68124-1717
Phone
(402) 819-8477
Fax
(855) 670-1789
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2958 NE Primary

Addresses

Primary practice location

7686 Walnut St
Omaha, NE 68124-1717

Mailing address

18150 Leavenworth St
Elkhorn, NE 68022-5699
Phone (703) 835-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010003865 NE Practitioner - Occupational Therapist in Private Practice 9638601917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Physical Therapy, IncGroup PAC ID 5991988693, 20 clinicians

Practice addresses (Care Compare)

7686 Walnut St
Omaha, NE 68124-1717
Phone (402) 819-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2958NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Physical Therapy PC Occupational Therapist CurrentSince Oct 1, 2024 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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1346068871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18150 LEAVENWORTH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225699",
            "telephone_number": "703-835-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 WALNUT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241717",
            "telephone_number": "402-819-8477",
            "fax_number": "855-670-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER HAAR",
        "first_name": "OLIVIA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2958",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 2, 2024; 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.

Verify at the official NPI Registry.