Active NPI
Stacy Jean Fritz, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1851353619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2285
- Practice address
- 7818 Dodge St
Omaha, NE 68114-3412 - Phone
- (402) 493-6808
- Fax
- (402) 493-6979
- NPI assigned
- Apr 5, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2285 | NE | Primary |
| Physical Therapist | 225100000X | 03735 | IA | |
| Physical Therapist | 225100000X | 8676 | CO |
Addresses
Primary practice location
7818 Dodge St
Omaha, NE 68114-3412
Mailing address
3305 N 163Rd PLZ
Apt 204
Omaha, NE 68116-2125
Phone (402) 968-0762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00443767 | Other | NE | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8676 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Current | Accepting new patients | |
| Orthowest LLC | Physical Therapist | Current | Accepting new patients |
| Orthowest LLC | Current | Accepting new patients | |
| Excel Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Locations
3415 S 205th St
Elkhorn, NE 68022
Phone (402) 609-1750
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
2725 S 144th St
Ste 212
Omaha, NE 68144
Phone (402) 354-4000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1073323606
-
- Physical Therapist
- Omaha, NE
- NPI 1306805981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1851353619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 N 163RD PLZ",
"address_2": "APT 204",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162125",
"telephone_number": "402-968-0762",
"fax_number": "402-493-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7818 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143412",
"telephone_number": "402-493-6808",
"fax_number": "402-493-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "STACY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2285",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03735",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8676",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00443767",
"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 Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.