NPIMap

Organization Active NPI

Heartland Equine Therapeutic Riding Academy Inc.

  • Physical Therapist
  • Gretna, NE
National Provider Identifier
1639568116
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEARTLAND EQUINE THERAPEUTIC RIDING ACADEMY INC.
Practice address
10130 S 222ND St
Gretna, NE 68028-4317
Phone
(402) 359-8830
NPI assigned
Jan 21, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Edye Godden, OTR/LNPI 1689064891
Title
Executive Director
Phone
(402) 359-8830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

10130 S 222ND St
Gretna, NE 68028-4317

Mailing address

10130 S 222ND St
Gretna, NE 68028-4317
Phone (402) 359-8830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1639568116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 S 222ND ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284317",
            "telephone_number": "402-359-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 S 222ND ST",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284317",
            "telephone_number": "402-359-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EQUINE THERAPEUTIC RIDING ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "GODDEN",
        "authorized_official_first_name": "EDYE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-359-8830",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.