NPIMap

Organization Active NPI

Blue Door Pediatric Therapy, P.C.

  • Hearing and Speech Clinic/Center
  • Omaha, NE
National Provider Identifier
1497145387
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
1242 Issued in NE
Legal business name
BLUE DOOR PEDIATRIC THERAPY, P.C.
Practice address
13049 Arlington St
Omaha, NE 68164-1643
Phone
(402) 680-1823
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Mrs. Melissa Bradley-Potter, M.A., CCC-SLPNPI 1891753695
Title
Owner
Phone
(402) 680-1823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 1242 NE Primary

Addresses

Primary practice location

13049 Arlington St
Omaha, NE 68164-1643

Mailing address

13049 Arlington St
Omaha, NE 68164-1643
Phone (402) 680-1823

National Provider Directory

National Provider Directory

Locations

10824 Old Mill Rd
Ste 101
Omaha, NE 68154
Phone (402) 680-1823

10824 Old Mill Rd
Ste 10
Omaha, NE 68154
Phone (402) 819-3441

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1497145387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13049 ARLINGTON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641643",
            "telephone_number": "402-680-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13049 ARLINGTON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641643",
            "telephone_number": "402-680-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOOR PEDIATRIC THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "BRADLEY-POTTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-680-1823",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NE",
            "license": "1242",
            "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 Jan 29, 2015; 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.