Active NPI
Elizabeth Dentlinger
- Physical Therapist
- Merriam, KS
National Provider Identifier
1912337148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3297
- Practice address
- 10000 W 75TH St
Suite 250
Merriam, KS 66204-2209 - Phone
- (913) 894-1910
- NPI assigned
- Nov 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3297 | NE | Primary |
Addresses
Primary practice location
10000 W 75TH St
Suite 250
Merriam, KS 66204-2209
Mailing address
309 N 41St Ave
Omaha, NE 68131-2201
Phone (309) 737-0169
Other names 1
- Elizabeth Pocivasek
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1912337148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 N 41ST AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312201",
"telephone_number": "309-737-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W 75TH ST",
"address_2": "SUITE 250",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042209",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTLINGER",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "POCIVASEK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.