Individual provider Active NPI

Tarah Pykiet

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1609328780
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1004 Issued in NE
Practice address
7812 S 190TH St
Omaha, NE 68136-1279
Phone
(402) 669-3440
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1004 NE Primary

Addresses

Primary practice location

7812 S 190TH St
Omaha, NE 68136-1279

Mailing address

7812 S 190TH St
Omaha, NE 68136-1279
Phone (402) 669-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518000258 NE Practitioner - Occupational Therapist in Private Practice 5799162426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1004NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Feb 15, 2022 Accepting new patients
Pando Geriatric Counseling, PC PastSince Feb 15, 2022 Accepting new patients

Locations

6991 S 178th Plz
Omaha, NE 68136
Phone (402) 819-0669

4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860

Organizations & group practices 2

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1609328780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 S 190TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361279",
            "telephone_number": "402-669-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 S 190TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361279",
            "telephone_number": "402-669-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYKIET",
        "first_name": "TARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1004",
            "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 Mar 15, 2022; 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.

Verify at the official NPI Registry.