Individual provider Active NPI

Beth A Cammack, OT

  • Occupational Therapist
  • Elkhorn, NE
National Provider Identifier
1861700098
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1232 Issued in NE
Practice address
222 N 192ND St
Elkhorn, NE 68022-5363
Phone
(402) 390-4111
Fax
(402) 390-4115
NPI assigned
Sep 22, 2010
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1232 NE Primary
Hand Occupational Therapist 225XH1200X 1232 NE

Addresses

Primary practice location

222 N 192ND St
Elkhorn, NE 68022-5363

Mailing address

PO Box 34669
Omaha, NE 68134-0669
Phone (531) 213-2749

Other practice location 1

1021 S 178th St Ste 101
Omaha, NE 68118-3574
Phone (402) 933-3036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014001281 NE Practitioner - Occupational Therapist in Private Practice 0143413757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD West One PCGroup PAC ID 0446228852, 89 clinicians

Practice addresses (Care Compare)

222 N 192ND St
Elkhorn, NE 68022-2811
Phone (402) 390-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1232NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients
MD West One, PC Occupational Therapist CurrentSince Dec 1, 2025 Accepting new patients
MD West One, PC CurrentSince Dec 1, 2025 Accepting new patients
Pacific Springs Physical Therapy, PC PastSince Sep 22, 2025 Accepting new patients

Locations

222 N 192nd St
Elkhorn, NE 68022

1021 S 178th St
Ste 101
Omaha, NE 68118
Phone (402) 256-5856

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045

8005 Farnam Dr
Ste 305
Omaha, NE 68114

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, 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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1861700098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34669",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340669",
            "telephone_number": "531-213-2749",
            "fax_number": "402-614-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 192ND ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225363",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 S 178th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681183574",
            "country_code": "US",
            "telephone_number": "402-933-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1232",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NE",
            "license": "1232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.