Individual provider Active NPI

Stacy Jean Fritz, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1851353619
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2285 Issued in NE
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

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00443767OtherNEMEDICARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025001104 NE Practitioner - Physical Therapist in Private Practice 9931168127 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8676COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc CurrentSince Jun 18, 2018 Accepting new patients
Orthowest LLC Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Orthowest LLC CurrentSince Mar 21, 2022 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.

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.

Verify at the official NPI Registry.