Active NPI
Jaimie Colbert, MS, OTR/L
- Occupational Therapist
- Missouri Valley, IA
National Provider Identifier
1902252190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1988
- Practice address
- 1010 Longview Rd
Missouri Valley, IA 51555-1227 - Phone
- (712) 642-2264
- NPI assigned
- May 6, 2016
- 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 | 082809 | IA | |
| Occupational Therapist | 225X00000X | 1988 | NE | Primary |
Addresses
Primary practice location
1010 Longview Rd
Missouri Valley, IA 51555-1227
Mailing address
25117 SW Parkway Ave
Wilsonville, OR 97070-9697
Other practice location 1
410 W 5th St
Louisville, NE 68037-6006
Phone (402) 234-2125
Other practice location 2
17500 Burke St
Omaha, NE 68118-2244
Phone (402) 401-3900
Other practice location 3
5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3900
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082809 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1902252190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LONGVIEW RD",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551227",
"telephone_number": "712-642-2264"
}
],
"practiceLocations": [
{
"address_1": "410 W 5th St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "NE",
"postal_code": "680376006",
"country_code": "US",
"telephone_number": "402-234-2125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17500 Burke St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681182244",
"country_code": "US",
"telephone_number": "402-401-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5401 South St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685062150",
"country_code": "US",
"telephone_number": "402-413-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLBERT",
"first_name": "JAIMIE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "082809",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.