Individual provider Active NPI

Jessica Pratt

  • Occupational Therapist
  • Columbus, NE
National Provider Identifier
1447504568
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1605 Issued in NE
Practice address
2954 N Park LN
Columbus, NE 68601-1845
Phone
(308) 440-1869
NPI assigned
Oct 29, 2012
Last updated
Oct 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1605 NE Primary

Addresses

Primary practice location

2954 N Park LN
Columbus, NE 68601-1845

Mailing address

2954 N Park LN
Columbus, NE 68601-1845

Other identifiers 1

IdentifierTypeStateIssuer
1605OtherNEOCCUPATIONAL THERAPY LISCENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922002679 NE Practitioner - Occupational Therapist in Private Practice 9739308883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite HW, LLCGroup PAC ID 9133617335, 3 clinicians
M and a Barth LLCGroup PAC ID 0840677647, 4 clinicians

Practice addresses (Care Compare)

4715 2ND Ave
Kearney, NE 68847-2417
Phone (308) 455-1500

4715 2ND Ave
Kearney, NE 68847-2463
Phone (308) 455-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1605NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
M & a Barth, LLC CurrentSince Jan 8, 2024 Accepting new patients
Elite Chiropractic & Tissue Rehabilitation, LLC CurrentSince Jul 3, 2021 Accepting new patients
Elite HW, LLC Occupational Therapist CurrentSince Sep 11, 2025 Accepting new patients

Locations

4715 2nd Ave
Kearney, NE 68847
Phone (308) 455-1500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1447504568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 N PARK LN",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 N PARK LN",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011845",
            "telephone_number": "308-440-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LISCENCE",
            "identifier": "1605",
            "state": "NE"
        }
    ],
    "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 Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.