Individual provider Active NPI

Bethany D Vitko, OT

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1366998924
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2032 Issued in NE
Practice address
7155 Kentwell LN Ste 100
Lincoln, NE 68516-6768
Phone
(402) 858-2052
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 2032 NE Primary

Addresses

Primary practice location

7155 Kentwell LN Ste 100
Lincoln, NE 68516-6768

Mailing address

1600 Janssen Dr
Lincoln, NE 68506-1844

Other practice location 1

1600 Janssen Dr
Lincoln, NE 68506-1844
Phone (402) 984-6582

Other practice location 2

8245 Cody Dr
Lincoln, NE 68512-9440
Phone (402) 858-2052

Other practice location 3

5550 S 59th St Ste 21
Lincoln, NE 68516-2398
Phone (402) 858-2052

Other names 1

  • Bethany Meyer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915001370 NE Practitioner - Occupational Therapist in Private Practice 8123314259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellity, LLCGroup PAC ID 5799156683, 4 clinicians

Practice addresses (Care Compare)

5550 S 59TH St
Suite 21
Lincoln, NE 68516-2398
Phone (402) 858-2052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellity, LLC Occupational Therapist CurrentSince Mar 16, 2024 Accepting new patients

Locations

8245 Cody Dr
Lincoln, NE 68512
Phone (402) 858-2052

5550 S 59th St
Ste 21
Lincoln, NE 68516
Phone (402) 416-1632

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1366998924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JANSSEN DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 KENTWELL LN STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166768",
            "telephone_number": "402-858-2052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Janssen Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685061844",
            "country_code": "US",
            "telephone_number": "402-984-6582",
            "fax_number": "402-434-5899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8245 Cody Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685129440",
            "country_code": "US",
            "telephone_number": "402-858-2052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 S 59th St Ste 21",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685162398",
            "country_code": "US",
            "telephone_number": "402-858-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITKO",
        "first_name": "BETHANY",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "MEYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.