Cheryl Linn Altum, COTA
Individual provider Active NPI Occupational Therapy Assistant · Omaha, NE
NPI 1891097705 · NPPES record last updated Nov 29, 2010
Key facts
- NPI
- 1891097705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057000938 (IL)
- Practice address
- 13609 California St
Suite 200
Omaha, NE 68154 - Phone
- (800) 456-5857
- Fax
- (402) 895-7812
- NPI assigned
- Nov 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057000938 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057000938 | IL | Yes |
| Occupational Therapy Assistant | 224Z00000X | 4575 | NC | |
| Occupational Therapy Assistant | 224Z00000X | 000868 | IA |
Addresses
Primary practice location
13609 California St
Suite 200
Omaha, NE 68154
Mailing address
1714 N 12TH St
Pekin, IL 61554-1763
Phone (309) 642-5962
Other providers in Omaha, NE
- Betie Altimo Saintvry
- Janelle K Altman
- Jennie Altman
- Nadera Ala'Aldin Mohammad Altork
- Andrea Altrock
- Ahmad Riyad Alturkmani
- Chad Alukonis
- Joseph Alukonis
- Elena Consuelo Alvarado Almanza
- Leticia Alvarado de Moreno
All providers in Omaha, NE · Occupational Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.