Active NPI
Pamela Jean Klaebisch, OTR/L, CLT
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1871508341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 864
- Practice address
- 7808 Davenport St
Omaha, NE 68114 - Phone
- (402) 393-2294
- Fax
- (402) 393-2754
- NPI assigned
- Jul 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 864 | NE | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 864 | NE |
Addresses
Primary practice location
7808 Davenport St
Omaha, NE 68114
Mailing address
7808 Davenport St
Omaha, NE 68114
Phone (402) 393-2294
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02425 | Other | NE | BCBS NEBRASKA |
| P00838601 | Other | NE | RR MEDICARE |
| 10025436800 | Medicaid | NE | |
| DF6645 | Other | NE | RR MEDICARE |
| 02056 | Other | NE | BCBS NEBRASKA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7808 Davenport St
Omaha, NE 68114-3629
Phone (402) 393-2294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Rehab LLC | Current | Accepting new patients | |
| Community Rehab, Inc | Current | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients | |
| Alegent Health Immanuel Medical Center | Past | Accepting new patients |
Locations
1408 Veterans Dr
Ste 102
Elkhorn, NE 68022
Phone (402) 289-3288
410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1871508341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 DAVENPORT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-393-2294",
"fax_number": "402-393-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 DAVENPORT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-393-2294",
"fax_number": "402-393-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAEBISCH",
"first_name": "PAMELA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "OTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "864",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NE",
"license": "864",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NEBRASKA",
"identifier": "02425",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00838601",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025436800",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF6645",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NEBRASKA",
"identifier": "02056",
"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 Mar 7, 2019; 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.