Individual provider Active NPI

Sherri Lee Judah, OT

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1629194980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
164 Issued in NE
Practice address
323 S 132ND St
Omaha, NE 68154-2106
Phone
(402) 334-6535
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 164 NE Primary

Addresses

Primary practice location

323 S 132ND St
Omaha, NE 68154-2106

Mailing address

5015 S 174TH St
Omaha, NE 68135-1419
Phone (402) 895-9381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709001114 NE Practitioner - Occupational Therapist in Private Practice 9032532023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabvisions Therapy NE LLCGroup PAC ID 8224378617, 20 clinicians

Practice addresses (Care Compare)

11623 Arbor St
Omaha, NE 68144-2981
Phone (402) 334-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabvisions Therapy NE, LLC CurrentSince May 10, 2020 Accepting new patients
Rehabvisions Therapy NE, LLC Occupational Therapist CurrentSince May 10, 2020 Accepting new patients

Locations

2001 Westown Pkwy
Ste 104
West Des Moines, IA 50265
Phone (402) 334-6063

11623 Arbor St
Omaha, NE 68144
Phone (402) 334-1919

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629194980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 S 174TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351419",
            "telephone_number": "402-895-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542106",
            "telephone_number": "402-334-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDAH",
        "first_name": "SHERRI",
        "middle_name": "LEE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "164",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.