Individual provider Active NPI

Theresa Marie Lundy, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1710233127
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2505 Issued in NE
Practice address
7686 Walnut St
Omaha, NE 68124-1717
Phone
(402) 819-8477
Fax
(855) 670-1789
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 2505 NE Primary

Addresses

Primary practice location

7686 Walnut St
Omaha, NE 68124-1717

Mailing address

7210 Mercy Rd.
Omaha, NE 68124
Phone (402) 397-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210629000323 NE Practitioner - Physical Therapist in Private Practice 3577964576 Reassigns benefits to 2 organizations
I20240201003401 IA Practitioner - Physical Therapist in Private Practice 3577964576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

5601 S 84TH St
Lincoln, NE 68516-4405
Phone (402) 483-0250

8525 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 331-0970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2505NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Physical Therapy PC Physical Therapist CurrentSince Mar 12, 2021 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients
Pando Geriatric Counseling, PC Past Accepting new patients

Locations

8525 Urbandale Ave
Urbandale, IA 50322
Phone (515) 331-0970

5601 S 84th St
Lincoln, NE 68516
Phone (402) 480-0250

4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860

6991 S 178th Plz
Omaha, NE 68136
Phone (402) 819-0669

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1710233127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MERCY RD.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68124",
            "telephone_number": "402-397-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 WALNUT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241717",
            "telephone_number": "402-819-8477",
            "fax_number": "855-670-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2505",
            "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 Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.