NPIMap

Organization Active NPI

Integrated Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Omaha, NE
National Provider Identifier
1578029872
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
INTEGRATED PEDIATRIC THERAPY, LLC
Practice address
11850 Nicholas St Ste 200
Omaha, NE 68154-4476
Phone
(402) 706-9320
NPI assigned
Feb 12, 2019
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Emily Nielsen, OTD, OTR/LNPI 1528324506
Title
Co-Owner
Phone
(402) 706-9320

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

11850 Nicholas St Ste 200
Omaha, NE 68154-4476

Mailing address

11850 Nicholas St Ste 200
Omaha, NE 68154-4476
Phone (402) 706-9320

National Provider Directory

National Provider Directory

Locations

11850 Nicholas St
Ste 200
Omaha, NE 68154
Phone (402) 577-0496

1710 N 144th St
Ste 3
Omaha, NE 68154
Phone (402) 515-6219

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1578029872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 NICHOLAS ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544476",
            "telephone_number": "402-706-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 NICHOLAS ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544476",
            "telephone_number": "402-706-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-706-9320",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 12, 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.