Active NPI
Kristin Clough
- Physical Therapist
- Omaha, NE
National Provider Identifier
1598137234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3462
- Practice address
- 1540 N 72ND St
Omaha, NE 68114-1924 - Phone
- (402) 398-3958
- NPI assigned
- Oct 21, 2015
- Last updated
- Oct 21, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3462 | NE | Primary |
Addresses
Primary practice location
1540 N 72ND St
Omaha, NE 68114-1924
Mailing address
1540 N 72ND St
Omaha, NE 68114-1924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3462 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allone Healthcare | Current | Accepting new patients | |
| Adaptive Rehabilitation Clinics, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Phoenix, AZ
- NPI 1952122061
-
- Physical Therapist
- Niles, OH
- NPI 1568085579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1598137234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141924",
"telephone_number": "402-398-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3462",
"primary": true
}
],
"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 Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.