Active NPI
Rachel Marie Mongeon, OTR/L
- Occupational Therapist
- Lincoln, NE
National Provider Identifier
1639355647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1482
- Practice address
- 2855 S 70TH St
Lincoln, NE 68506-3700 - Phone
- (402) 483-4300
- NPI assigned
- Jan 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102768 | MN | |
| Occupational Therapist | 225X00000X | 1482 | NE | Primary |
Addresses
Primary practice location
2855 S 70TH St
Lincoln, NE 68506-3700
Mailing address
2855 S 70TH St
Lincoln, NE 68506-3700
Phone (402) 483-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025862100 | Medicaid | NE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102768 | MN | MD | Occupational Therapist |
| 1482 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Therapy Centre, PC | Occupational Therapist | Past | Accepting new patients |
| Gregory J. Mongeon, DC,PC | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Lincoln, NE
- NPI 1548571664
-
- Chiropractor
- Lincoln, NE
- NPI 1568650034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1639355647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063700",
"telephone_number": "402-483-4300",
"fax_number": "402-483-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063700",
"telephone_number": "402-483-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGEON",
"first_name": "RACHEL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-21",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102768",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025862100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.