Active NPI
Amy Collison, PT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1639515323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3053
- Practice address
- 1313 S Saddle Creek Rd
Omaha, NE 68106-2402 - Phone
- (402) 933-0100
- Fax
- (402) 933-0200
- NPI assigned
- May 21, 2013
- 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 | 3053 | NE | Primary |
Addresses
Primary practice location
1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Mailing address
1015 S 38TH Ave Apt 6
Omaha, NE 68105-1874
Phone (402) 598-3779
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 |
|---|---|---|---|
| 3053 | NE | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Therapy Associates, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Omaha, NE
- NPI 1275566481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1639515323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S 38TH AVE APT 6",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051874",
"telephone_number": "402-598-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 S SADDLE CREEK RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062402",
"telephone_number": "402-933-0100",
"fax_number": "402-933-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLISON",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3053",
"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 May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.