Individual provider Active NPI

Melinda Jo Sherwood, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1679798276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
925 Issued in NE
Practice address
17021 Lakeside Hills PLZ Ste 202
Omaha, NE 68130-2390
Phone
(402) 758-5054
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 925 NE Primary

Addresses

Primary practice location

17021 Lakeside Hills PLZ Ste 202
Omaha, NE 68130-2390

Mailing address

8118 S 104TH St
Lavista, NE 68128-5781
Phone (402) 980-0005

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

LicenseStateTypeSpecialty
925NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679798276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 S 104TH ST",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681285781",
            "telephone_number": "402-980-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLZ STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302390",
            "telephone_number": "402-758-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "MELINDA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "925",
            "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 Jul 8, 2007; 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.