NPIMap

Organization Active NPI

Omaha Therapy, Inc

Doing business as Rehab Visions

  • Rehabilitation Clinic/Center
  • Dickinson, ND
National Provider Identifier
1730280371
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
OMAHA THERAPY, INC
Doing business as
Rehab Visions
RehabVisions
Practice address
683 State Ave Ste B
Dickinson, ND 58601-4660
Phone
(701) 483-9400
Fax
(701) 483-9398
NPI assigned
Sep 26, 2006
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
OMAHA THERAPY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Theresa Lynn Godfrey
Title
Senior Accountant/Delegated Officia
Phone
(402) 334-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

683 State Ave Ste B
Dickinson, ND 58601-4660

Mailing address

11623 Arbor St Ste 200
Omaha, NE 68144-2991
Phone (402) 334-6025

Other identifiers 1

IdentifierTypeStateIssuer
52114MedicaidND

Other names 2

  • Rehab Visions Doing business as
  • RehabVisions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041005000504 ND Part B Supplier - Clinic/Group Practice 1557270915 Receives reassigned benefits from 7 practitioners
Practice locations: Dickinson, ND
O20050311000239 ND Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1557270915 Practice locations: Dickinson, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730280371. Details of each certification follow.

  • CCN 356513 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 356513

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABVISIONS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 2, 2001
Last certification
Feb 10, 2022
Ownership / control type
Proprietary
Facility address
683 State Ave Suite B
Dickinson, ND 58601

National Provider Directory

National Provider Directory
Tax ID family
Ohama Therapy Inc2 organizations share this tax ID, including this one
Part of
Ohama Therapy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466

518 S Fremont St
Ste 130
Shenandoah, IA 51601
Phone (712) 246-3077

1173 3rd Ave W
Dickinson, ND 58601
Phone (701) 483-9400

683 State Ave
Dickinson, ND 58601
Phone (701) 483-9400

683 State Ave
Ste B
Dickinson, ND 58601
Phone (701) 483-9400

Practitioners & affiliated clinicians

Practitioners 110

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.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1730280371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ARBOR ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442991",
            "telephone_number": "402-334-6025",
            "fax_number": "402-334-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 STATE AVE STE B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014660",
            "telephone_number": "701-483-9400",
            "fax_number": "701-483-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMAHA THERAPY, INC",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT/DELEGATED OFFICIA",
        "authorized_official_telephone_number": "402-334-6025"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52114",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Visions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RehabVisions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.