Active NPI
Susan Ann Dickson-Matsunami
- Physical Therapist
- Omaha, NE
National Provider Identifier
1801973573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1577
- Practice address
- 444 S 44TH St
Omaha, NE 68131-3727 - Phone
- (402) 559-8943
- NPI assigned
- Nov 1, 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 | 1577 | NE | Primary |
Addresses
Primary practice location
444 S 44TH St
Omaha, NE 68131-3727
Mailing address
985450 Nebraska Med Ctr
Omaha, NE 68198-5450
Phone (402) 559-8943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025288900 | Medicaid | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1577 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1801973573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985450 NEBRASKA MED CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985450",
"telephone_number": "402-559-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S 44TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681313727",
"telephone_number": "402-559-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON-MATSUNAMI",
"first_name": "SUSAN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025288900",
"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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.