Active NPI
Jayna Marie O'Bryan, PTA
- Physical Medicine & Rehabilitation Physician
- Omaha, NE
National Provider Identifier
1437640703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1294
- Practice address
- 9602 M St
Omaha, NE 68127-2053 - Phone
- (816) 518-8231
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1294 | NE | Primary |
Addresses
Primary practice location
9602 M St
Omaha, NE 68127-2053
Mailing address
4222 N 129TH Avenue Cir
Omaha, NE 68164-1818
Phone (402) 699-0438
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1294 | NE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1437640703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 N 129TH AVENUE CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641818",
"telephone_number": "402-699-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 M ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681272053",
"telephone_number": "816-518-8231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "JAYNA",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NE",
"license": "1294",
"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 May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.