Individual provider Active NPI

Laura Christine Raastad, M.S., OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1922299411
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2440 Issued in NE
Practice address
4963 S 176TH Ave
Omaha, NE 68135-3438
Phone
(520) 450-9804
NPI assigned
Aug 8, 2007
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3824 AZ
Occupational Therapist 225X00000X 2440 NE Primary

Addresses

Primary practice location

4963 S 176TH Ave
Omaha, NE 68135-3438

Mailing address

4963 S 176TH Ave
Omaha, NE 68135-3438
Phone (520) 450-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240326003235 NE Practitioner - Occupational Therapist in Private Practice 1850667122 Reassigns benefits to 1 organization
I20250728003026 IA Practitioner - Occupational Therapist in Private Practice 1850667122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2440NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DRM Wellness LLC Occupational Therapist CurrentSince Feb 23, 2024 Accepting new patients

Locations

4200 University Ave
Ste 426
West Des Moines, IA 50266
Phone (260) 226-7848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1922299411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 S 176TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353438",
            "telephone_number": "520-450-9804",
            "fax_number": "208-398-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 S 176TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353438",
            "telephone_number": "520-450-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAASTAD",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "3824",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2440",
            "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 Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.