Nathan O'Neill, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

095574 Issued in IA

Practice address

12499 University Ave Ste 250
Clive, IA 50325-8271

Phone

(515) 985-7530

Fax

(515) 985-7531

NPI assigned

Aug 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allergy, Asthma & Immunology Associates P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
  • NPI 1063471860
  NPD (past)
• Ear Nose and Throat Consultants LLC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1578972659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376190843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495011",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE STE 250",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258271",
            "telephone_number": "515-985-7530",
            "fax_number": "515-985-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "095574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114141546",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alisha.friedel@entconsultants.net",
            "affiliation": "Y",
            "affiliationName": "Ear Nose and Throat Consultants and Hearing Services PLC",
            "address_1": "12499 University Ave Ste 250",
            "city": "Clive",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503258271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nsight Innovations
• Jacquelin Rae Nussbaum, RPH
• Laura A Nydam, LMSW
• Andrew John O'Bleness, DC
• Stephanie D O'Brien, DO
• Michael D Obrien, MD
• Occupational Medicine Plus, PC
• Oconnor Medical Supply Inc
• Amy Diane Oliver, ARNP
• Amanda Olson, BCBA

• All providers in Clive, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.