Individual provider Active NPI

Kaely Marie Gloria Piller, OTD, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1437632841
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2123 Issued in NE
Practice address
17500 Burke St
Omaha, NE 68118-2244
Phone
(402) 401-3900
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119007857 VA
Occupational Therapist 225X00000X 2123 NE Primary

Addresses

Primary practice location

17500 Burke St
Omaha, NE 68118-2244

Mailing address

8003 N 123Rd St
Omaha, NE 68142-1765
Phone (402) 917-7359

Other practice location 1

5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3900

Other practice location 2

920 Jr High School Rd
Scotland Neck, NC 27874-1218
Phone (252) 826-5146

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
2123NEMDChiropractor
0119007857VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1437632841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 N 123RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681421765",
            "telephone_number": "402-917-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 BURKE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182244",
            "telephone_number": "402-401-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 South St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685062150",
            "country_code": "US",
            "telephone_number": "402-413-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Jr High School Rd",
            "address_purpose": "LOCATION",
            "city": "Scotland Neck",
            "state": "NC",
            "postal_code": "278741218",
            "country_code": "US",
            "telephone_number": "252-826-5146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILLER",
        "first_name": "KAELY",
        "middle_name": "MARIE GLORIA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007857",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.