Individual provider Active NPI

Joan Shields

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1891150694
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
215 Issued in NE
Practice address
6809 N 68TH PLZ
Omaha, NE 68152-2117
Phone
(402) 572-2134
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 215 NE Primary

Addresses

Primary practice location

6809 N 68TH PLZ
Omaha, NE 68152-2117

Mailing address

6809 N 68TH PLZ
Omaha, NE 68152-2117
Phone (402) 572-2134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828000602 NE Practitioner - Occupational Therapist in Private Practice 9638596182 Reassigns benefits to 1 organization

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
Choice Rehabilitation LLCGroup PAC ID 7719308204, 10 clinicians

Practice addresses (Care Compare)

6803 N 68TH PLZ
Choice Rehab Agency
Omaha, NE 68152-2177
Phone (314) 275-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215NEMDPodiatrist
205NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Rehabilitation LLC Occupational Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000

Organizations & group practices 1

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1891150694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 N 68TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522117",
            "telephone_number": "402-572-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 N 68TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522117",
            "telephone_number": "402-572-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "215",
            "primary": true
        }
    ],
    "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 Dec 21, 2015; 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.