Individual provider Active NPI

Rose M Ryba, OTR/L

  • Gerontology Occupational Therapist
  • Papillion, NE
National Provider Identifier
1386975779
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
1313 Issued in NE
Practice address
11380 S 60TH CT
Papillion, NE 68133-3214
Phone
(402) 885-7000
Fax
(402) 682-4256
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 1313 NE Primary

Addresses

Primary practice location

11380 S 60TH CT
Papillion, NE 68133-3214

Mailing address

11380 S 60TH CT
Papillion, NE 68133-3214
Phone (402) 885-7000

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

State licenses

LicenseStateTypeSpecialty
1313NEMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1386975779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 S 60TH CT",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333214",
            "telephone_number": "402-885-7000",
            "fax_number": "402-682-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 S 60TH CT",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333214",
            "telephone_number": "402-885-7000",
            "fax_number": "402-682-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBA",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NE",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.