Individual provider Active NPI

Michele A Jarzynka, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1902863780
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
189 Issued in NE
Practice address
1905 N 54TH St
Omaha, NE 68104-4959
Phone
(402) 558-8116
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 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 189 NE Primary

Addresses

Primary practice location

1905 N 54TH St
Omaha, NE 68104-4959

Mailing address

1905 N 54TH St
Omaha, NE 68104-4959
Phone (402) 558-8116

Other identifiers 1

IdentifierTypeStateIssuer
47065477702MedicaidNE

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

State licenses

LicenseStateTypeSpecialty
189NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Occupational Therapist PastSince Jul 5, 2017 Accepting new patients
Flex Physical Therapy LLC PastSince Feb 27, 2006 Accepting new patients
Flex Physical Therapy LLC Past Accepting new patients

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1902863780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N 54TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044959",
            "telephone_number": "402-558-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N 54TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044959",
            "telephone_number": "402-558-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARZYNKA",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477702",
            "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 Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.