Active NPI
Dorothy Jane Druecker, PT
- Physical Therapist
- Alliance, NE
National Provider Identifier
1760423404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 133
- Practice address
- 407 Black Hills Ave
Alliance, NE 69301-3243 - Phone
- (308) 762-6564
- Fax
- (308) 762-3747
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 133 | NE | Primary |
Addresses
Primary practice location
407 Black Hills Ave
Alliance, NE 69301-3243
Mailing address
407 Black Hills Ave
Alliance, NE 69301-3243
Phone (308) 762-6564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02015 | Other | NE | BCBS OF NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 133 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760423404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 BLACK HILLS AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693013243",
"telephone_number": "308-762-6564",
"fax_number": "308-762-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 BLACK HILLS AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693013243",
"telephone_number": "308-762-6564",
"fax_number": "308-762-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUECKER",
"first_name": "DOROTHY",
"middle_name": "JANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "02015",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.