Individual provider Active NPI

Paige Nicole Lebahn, OTD, OTR/L

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1457196388
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2910 Issued in NE
Practice address
2830 Fletcher Ave Apt 265
Lincoln, NE 68504-1179
Phone
(605) 214-6625
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 2910 NE Primary

Addresses

Primary practice location

2830 Fletcher Ave Apt 265
Lincoln, NE 68504-1179

Mailing address

2830 Fletcher Ave Apt 265
Lincoln, NE 68504-1179
Phone (605) 214-6625

Other names 1

  • Paige Nicole Boote Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421002938 MN Practitioner - Occupational Therapist in Private Practice 8527503598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnydays Therapy Inc Occupational Therapist CurrentSince Apr 21, 2025 Accepting new patients

Locations

5232 Kyler Ave NE
Ste A
Albertville, MN 55301

9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1457196388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 FLETCHER AVE APT 265",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041179",
            "telephone_number": "605-214-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 FLETCHER AVE APT 265",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041179",
            "telephone_number": "605-214-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAHN",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "BOOTE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.