Active NPI
Gretchen S Chappell, OTR/L
- Occupational Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 808
- Practice address
- 13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124 - Phone
- (402) 330-3211
- Fax
- (402) 330-5970
- NPI assigned
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 808 | NE | Primary |
Addresses
Primary practice location
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Mailing address
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone (402) 330-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47065477702 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3117 W Palmetto St
Florence, SC 29501-5998
Phone (803) 223-7765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4003 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Procare3, Inc. | Past | Accepting new patients | |
| Makovicka Harms Group PC | Occupational Therapist | Past | Accepting new patients |
Locations
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
3117 W Palmetto St
Florence, SC 29501
Phone (803) 223-7765
2065 McCrays Mill Rd
Sumter, SC 29154
Phone (502) 213-7575
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 and National Provider Directory roles.
-
dba Synchrony Rehabilitation
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
SC
-
dba Synchrony Rehab
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
-
dba Makovicka Physical Therapy
- Physical Therapist
- Omaha, NE
- NPI 1386879559
Occupational Therapist
-
dba Fyzical Therapy and Balance Centers
- Rehabilitation Practitioner
- Omaha, NE
- NPI 1942266945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1518260223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13336 INDUSTRIAL RD",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371124",
"telephone_number": "402-330-3211",
"fax_number": "402-330-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13336 INDUSTRIAL RD",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371124",
"telephone_number": "402-330-3211",
"fax_number": "402-330-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "GRETCHEN",
"middle_name": "S",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47065477702",
"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 Dec 20, 2010; 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.