Individual provider Active NPI

Denise Carnahan, OTR/L

  • Gerontology Occupational Therapist
  • Fremont, NE
National Provider Identifier
1578834073
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
1083 Issued in NE
Practice address
2550 N Nye Ave
Fremont, NE 68025-2242
Phone
(402) 721-6403
NPI assigned
Jan 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 1083 NE Primary

Addresses

Primary practice location

2550 N Nye Ave
Fremont, NE 68025-2242

Mailing address

15441 Hamilton St
Omaha, NE 68154-3733
Phone (402) 210-8111

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
1083NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carnahan Pediatric Therapy, LLC PastSince Mar 9, 2020 Accepting new patients

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": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1578834073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15441 HAMILTON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543733",
            "telephone_number": "402-210-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N NYE AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252242",
            "telephone_number": "402-721-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NE",
            "license": "1083",
            "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 16, 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.