Ann M Hazuka, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

949 Issued in NE

Practice address

5505 Grover St
Omaha, NE 68106-3718

Phone

(402) 558-0225

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovate Rehab and Wellness LLCGroup PAC ID 5991054645, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovate Rehab and Wellness LLC

  dba Hillcrest Rehab Services

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1588179923
  Medicare reassignment Care Compare group NPD
• Hillcrest Home Care, Inc.

  dba Hillcrest Hospice Care

  • Community Based Hospice Care Agency
  • Bellevue, NE
  • NPI 1790009066
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1801175047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 ROSEWOOD AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681334416",
            "telephone_number": "402-734-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063718",
            "telephone_number": "402-558-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZUKA",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "949",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Keith Hazen, MD
• Kristie Anmarie Hazen
• Tynetha Latrice Hazley
• Hazlo Health
• Hazlo PC
• HCP S-H Opco TRS, LLC (Brighton Gardens of Omaha)
• Nancy He, MD
• Christine Jo Head, PA
• George Gilbert Head, MD
• Melanie Headlee

• Occupational Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.