Alisa Mingus, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2305 Issued in NE

Practice address

620 E 25TH St Ste 7
Kearney, NE 68847-5529

Phone

(308) 455-1781

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alisa Pecka Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Physical Therapy and Sports CenterGroup PAC ID 7214970177, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Physical Therapy & Sports Center

  • Physical Therapist
  • Kearney, NE
  • NPI 1356373658
  Medicare reassignment Care Compare group NPD
• Family Physical Therapy & Sports Center

  • Chiropractor
  • Kearney, NE
  • NPI 1326551532
  NPD
• Family Physical Therapy & Sports Center

  • Physical Therapist
  • Ravenna, NE
  • NPI 1942417852
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1952867954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGUS",
        "first_name": "ALISA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "PECKA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberlee Miller
• Tara Lynn Miller
• Milligan Chiropractic, P.C.
• Jerry Lee Milligan, D.C.
• Grace A Mims, LIMHP, LIPC, LMFT-SD
• Luke Minturn, OTR/L
• Nathanial Francis Mishou
• Melissa V Mitchell, PLMHP
• Amy Jo Moak
• Alyssa C Moeller, DPT

• Occupational Therapist in Kearney, NE
• Providers in Kearney, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.