Active NPI
Elizabeth Ann Gonka, OTRL, CLT-LANA
- Occupational Therapist
- Columbus, NE
National Provider Identifier
1437356995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1073
- Practice address
- 4600 38TH St
Columbus, NE 68601-1664 - Phone
- (402) 562-3343
- Fax
- (402) 562-3334
- NPI assigned
- Jun 28, 2007
- 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 | 1073 | NE | Primary |
Addresses
Primary practice location
4600 38TH St
Columbus, NE 68601-1664
Mailing address
3616 35TH Street
Columbus, NE 68601
Phone (402) 690-2837
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437356995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 35TH STREET",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "68601",
"telephone_number": "402-690-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 38TH ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686011664",
"telephone_number": "402-562-3343",
"fax_number": "402-562-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONKA",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTRL, CLT-LANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.