Individual provider Active NPI

Diana Lynn Schwahn, PT, ATC, MA

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1740339712
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1015 Issued in NE
Practice address
11405 Davenport St
Omaha, NE 68154-2526
Phone
(402) 740-8400
Fax
(402) 547-4200
NPI assigned
Jan 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1015 NE Primary

Addresses

Primary practice location

11405 Davenport St
Omaha, NE 68154-2526

Mailing address

11405 Davenport St
Omaha, NE 68154-2526
Phone (402) 740-8400

Other practice location 1

13906 Gold Cir
Omaha, NE 68144-2335
Phone (402) 639-6708

Other identifiers 2

IdentifierTypeStateIssuer
02317OtherNEBCBS
P0036802OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000106 NE Practitioner - Physical Therapist in Private Practice 5294649836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehab Guru, P.C.Group PAC ID 1951433820, 6 clinicians

Practice addresses (Care Compare)

360 N 114TH St
Omaha, NE 68154-2517
Phone (402) 740-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1015NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehab Guru, P.C. Physical Therapist CurrentSince Mar 25, 2010 Accepting new patients
Optimum Physical Therapy Past Accepting new patients
Omaha Eyecare PastSince Mar 25, 2010 Accepting new patients

Locations

11405 Davenport St
Omaha, NE 68154
Phone (402) 740-8400

2730 S 114th St
Omaha, NE 68144
Phone (402) 333-2244

360 N 114th St
Omaha, NE 68154
Phone (402) 740-8400

366 N 114th St
Omaha, NE 68154
Phone (402) 639-6708

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, 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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740339712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542526",
            "telephone_number": "402-740-8400",
            "fax_number": "402-547-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542526",
            "telephone_number": "402-740-8400",
            "fax_number": "402-547-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13906 Gold Cir",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681442335",
            "country_code": "US",
            "telephone_number": "402-639-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAHN",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "PT, ATC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02317",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0036802",
            "state": "NE"
        }
    ],
    "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 21, 2022; 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.