Active NPI
Mindy A Dejonge, OT
- Occupational Therapist
- Alma, NE
National Provider Identifier
1366847832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1542
- Practice address
- 717 Brow Ave
Alma, NE 68920 - Phone
- (308) 928-3002
- Fax
- (308) 928-2774
- NPI assigned
- Oct 27, 2014
- Last updated
- Oct 27, 2014
- 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 | 1542 | NE | Primary |
Addresses
Primary practice location
717 Brow Ave
Alma, NE 68920
Mailing address
2810 W 35TH St
Ste 2
Kearney, NE 68845-2909
Phone (308) 237-7388
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": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1366847832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W 35TH ST",
"address_2": "STE 2",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452909",
"telephone_number": "308-237-7388",
"fax_number": "308-237-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 BROW AVE",
"city": "ALMA",
"state": "NE",
"postal_code": "68920",
"telephone_number": "308-928-3002",
"fax_number": "308-928-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJONGE",
"first_name": "MINDY",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alma, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.