Individual provider Active NPI

Lisa S Bartels, DPT, PRC

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1467535187
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2382 Issued in NE
Practice address
1910 S 72ND Street
Suite 302
Omaha, NE 68124-1734
Phone
(402) 391-2635
Fax
(402) 391-0326
NPI assigned
Oct 24, 2006
Last updated
Apr 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2382 NE Primary

Addresses

Primary practice location

1910 S 72ND Street
Suite 302
Omaha, NE 68124-1734

Mailing address

1910 S 72ND Street
Suite 302
Omaha, NE 68124-1734
Phone (402) 391-2635

Other identifiers 1

IdentifierTypeStateIssuer
09186OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810001087 NE Practitioner - Physical Therapist in Private Practice 4789613647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Physical Therapy PCGroup PAC ID 1759377542, 10 clinicians

Practice addresses (Care Compare)

6101 S 56 St
Lincoln, NE 68516-3392
Phone (402) 420-0800

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
75.62
Improvement activities
40
Cost
80.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2382NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy PC CurrentSince Feb 7, 2011 Accepting new patients
Midwest Spine Clinic LLC Physical Therapist Past Accepting new patients
Foot & Ankle Associates of Siouxland, P.L.C. PastSince Mar 1, 2005 Accepting new patients
Hruska Clinic Inc. Physical Therapist PastSince Jun 11, 2001 Accepting new patients

Locations

6101 S 56th St
Ste 1
Lincoln, NE 68516
Phone (402) 420-0800

Organizations & group practices 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1467535187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S 72ND STREET",
            "address_2": "SUITE 302",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241734",
            "telephone_number": "402-391-2635",
            "fax_number": "402-391-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S 72ND STREET",
            "address_2": "SUITE 302",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241734",
            "telephone_number": "402-391-2635",
            "fax_number": "402-391-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELS",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "DPT, PRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09186",
            "state": "NE"
        }
    ],
    "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 Apr 22, 2009; 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.