Active NPI
Danny J Kissinger, O.T.
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1598727885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1635
- Practice address
- 2727 S 144TH St # 142
Omaha, NE 68144-5225 - Phone
- (402) 559-8000
- Fax
- (402) 596-8746
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 3241 | AZ | |
| Occupational Therapist | 225X00000X | 3241 | AZ | |
| Occupational Therapist | 225X00000X | 1635 | NE | Primary |
Addresses
Primary practice location
2727 S 144TH St # 142
Omaha, NE 68144-5225
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 559-6195
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 854324 | Medicaid | AZ | |
| 47065477702 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1635 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare3, Inc. | Current | Accepting new patients | |
| Spooner Phoenix Physical Therapy, Inc. | Past | Accepting new patients | |
| KC's Physical Therapy LLC | Past | Accepting new patients |
Locations
4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211
545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333
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 and National Provider Directory roles.
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-
- Physical Therapist
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- NPI 1477807485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1598727885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102",
"telephone_number": "402-559-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 S 144TH ST # 142",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445225",
"telephone_number": "402-559-8000",
"fax_number": "402-596-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSINGER",
"first_name": "DANNY",
"middle_name": "J",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AZ",
"license": "3241",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3241",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "854324",
"state": "AZ"
},
{
"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 Apr 6, 2016; 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.