Organization Active NPI

DRM Wellness LLC

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1679336614
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mrs. Laura Raastad, OTR/LNPI 1922299411
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)CodeLicenseStatePrimary
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, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240229001686 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880039866 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20250724003527 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880039866 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.