Individual provider Active NPI

Ethan Schlueter, DPT

  • Physical Therapist
  • Papillion, NE
National Provider Identifier
1467970509
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3791 Issued in NE
Practice address
310 E Gold Coast Rd
Ste 113
Papillion, NE 68046
Phone
(402) 504-6506
Fax
(402) 504-6509
NPI assigned
Sep 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 082965 IA
Physical Therapist 225100000X 3791 NE Primary

Addresses

Primary practice location

310 E Gold Coast Rd
Ste 113
Papillion, NE 68046

Mailing address

13809 Industrial Rd
Omaha, NE 68137
Phone (402) 932-7111

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3791NEMDMental Health Counselor
082965IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Hospital LLC PastSince Aug 11, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/efffdd49-80a8-4c46-87e6-e53d54707ef3/

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1467970509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 INDUSTRIAL RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68137",
            "telephone_number": "402-932-7111",
            "fax_number": "402-932-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E GOLD COAST RD",
            "address_2": "STE 113",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046",
            "telephone_number": "402-504-6506",
            "fax_number": "402-504-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUETER",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "082965",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.