Active NPI
Michelle C Neal, PTA
- Physical Therapy Assistant
- Omaha, NE
National Provider Identifier
1861771685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 566
- Practice address
- 5505 Grover St
Omaha, NE 68106-3718 - Phone
- (402) 551-4970
- NPI assigned
- Aug 10, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 566 | NE | Primary |
| Physical Therapy Assistant | 225200000X | 00993 | IA |
Addresses
Primary practice location
5505 Grover St
Omaha, NE 68106-3718
Mailing address
5320 Crogans Way Rd
Council Bluffs, IA 51501-8553
Phone (712) 256-5470
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 |
|---|---|---|---|
| 566 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1861771685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 CROGANS WAY RD",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515018553",
"telephone_number": "712-256-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 GROVER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063718",
"telephone_number": "402-551-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "MICHELLE",
"middle_name": "C",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "566",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00993",
"primary": false
}
],
"identifiers": [],
"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 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.