Active NPI
DRM Wellness LLC
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1679336614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- DRM WELLNESS LLC
- Practice address
- 4963 S 176TH Ave
Omaha, NE 68135-3438 - Phone
- (520) 450-9804
- NPI assigned
- Feb 1, 2024
- Last updated
- Feb 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura Raastad, OTR/L
- Title
- Founder and Owner
- Phone
- (520) 450-9804
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Athletic Trainer | 2255A2300X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Gerontology Occupational Therapist | 225XG0600X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
4963 S 176TH Ave
Omaha, NE 68135-3438
Mailing address
4963 S 176TH Ave
Omaha, NE 68135-3438
Phone (520) 450-9804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4200 University Ave
Ste 426
West Des Moines, IA 50266
Phone (402) 594-6350
Practitioners & affiliated clinicians
Practitioners 1
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": "1706745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1679336614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4963 S 176TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353438",
"telephone_number": "520-450-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4963 S 176TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353438",
"telephone_number": "520-450-9804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRM WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "RAASTAD",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "FOUNDER AND OWNER",
"authorized_official_telephone_number": "520-450-9804",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.