Individual provider Active NPI

Kristen M Pearson, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1518213768
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2131 Issued in NE
Practice address
10909 Mill Valley Rd Ste 210
Omaha, NE 68154-3950
Phone
(402) 391-5002
Fax
(402) 343-1278
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12769 CA
Occupational Therapist 225X00000X 2131 NE Primary

Addresses

Primary practice location

10909 Mill Valley Rd Ste 210
Omaha, NE 68154-3950

Mailing address

10909 Mill Valley Rd Ste 210
Omaha, NE 68154-3950
Phone (402) 391-5002

Other names 1

  • Kristen Sayers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430002054 NE Practitioner - Occupational Therapist in Private Practice 9436599032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxability Therapy Services, P.C.Group PAC ID 6800060856, 9 clinicians

Practice addresses (Care Compare)

10909 Mill Valley Rd
Suite 210
Omaha, NE 68154-3950
Phone (402) 391-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2131NEMDDental Hygienist
12769CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxability Therapy Services, P.C. Occupational Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

1001 Fort Crook Rd N
Ste 202
Bellevue, NE 68005
Phone (402) 391-5002

10909 Mill Valley Rd
Ste 210
Omaha, NE 68154
Phone (402) 391-5002

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1518213768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 MILL VALLEY RD STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543950",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 MILL VALLEY RD STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543950",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12769",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SAYERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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, 2024; 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.