Carnahan Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

CARNAHAN PEDIATRIC THERAPY, LLC

Practice address

800 N Front St Ste 510
Waterloo, NE 68069-2249

Phone

(402) 210-8111

Fax

(402) 769-2910

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Denise Carnahan, MA OTR/LNPI 1578834073

Title

Manager

Phone

(402) 210-8111

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Carnahan, OTR/L

  • Gerontology Occupational Therapist
  • Fremont, NE
  • NPI 1578834073
  NPD (past) Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1649804451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15441 HAMILTON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543733",
            "telephone_number": "402-210-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FRONT ST STE 510",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680692249",
            "telephone_number": "402-210-8111",
            "fax_number": "402-769-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNAHAN PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "CARNAHAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-210-8111",
        "authorized_official_credential": "MA OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Ann Bentley, PT
• Kenneth Blevins
• Bluebird Health, LLC
• Hannah Daniels
• Carl F Dorner III, PLMHP
• Erica Franzluebbers
• Shawn Frohloff, OT
• Brenda L Gawrych, DPT

• All providers in Waterloo, NE
• Pediatric Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.