Individual provider Active NPI

Jill Lamprecht, PTA

  • Physical Therapy Assistant
  • Fremont, NE
National Provider Identifier
1518237239
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
770 Issued in NE
Practice address
3210 N Clarkson St
Fremont, NE 68025-2301
Phone
(402) 753-4853
Fax
(402) 727-4510
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 770 NE Primary

Addresses

Primary practice location

3210 N Clarkson St
Fremont, NE 68025-2301

Mailing address

3210 N Clarkson St
Fremont, NE 68025-2301
Phone (402) 753-4853

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
770NEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1518237239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252301",
            "telephone_number": "402-753-4853",
            "fax_number": "402-727-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252301",
            "telephone_number": "402-753-4853",
            "fax_number": "402-727-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPRECHT",
        "first_name": "JILL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.