Individual provider Active NPI

Adam Mailander

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1811007552
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6900 A St
Suite 102
Lincoln, NE 68510-4120
Phone
(402) 436-2535
Fax
(402) 436-2541
NPI assigned
Aug 30, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

6900 A St
Suite 102
Lincoln, NE 68510-4120

Mailing address

5790 N 33Rd St
Suite a
Lincoln, NE 68504-4651
Phone (402) 436-2992

Other identifiers 3

IdentifierTypeStateIssuer
1319OtherNELICENSE
39777OtherNEBCBS
0119004048OtherVALICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000639 NE Practitioner - Occupational Therapist in Private Practice 6608900493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 S 70TH St
Suite 200
Lincoln, NE 68510-7901
Phone (402) 436-2535

1651 N 86TH St
Suite 100
Lincoln, NE 68505-3719
Phone (402) 484-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Occupational Therapist CurrentSince Sep 1, 2015 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Occupational Therapist CurrentSince Sep 1, 2015 Accepting new patients

Locations

1001 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2535

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

4920 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 434-5361

6900 A St
Ste 102
Lincoln, NE 68510
Phone (402) 436-2535

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1811007552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 N 33RD ST",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044651",
            "telephone_number": "402-436-2992",
            "fax_number": "402-436-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 A ST",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104120",
            "telephone_number": "402-436-2535",
            "fax_number": "402-436-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILANDER",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1319",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39777",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "0119004048",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.