Active NPI
Stacy Lynn Lerner, PT, PCS
- Pediatric Physical Therapist
- Omaha, NE
National Provider Identifier
1962540054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2751
- Practice address
- Children's Nebraska
8200 Dodge Street
Omaha, NE 68114 - Phone
- (402) 955-3985
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2751 | NE | Primary |
Addresses
Primary practice location
Children's Nebraska
8200 Dodge Street
Omaha, NE 68114
Mailing address
1622 N 53Rd St
Omaha, NE 68104-4948
Phone (312) 498-8427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100044415-62762-01 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2751 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Specialty Physician Billing | Past | Accepting new patients | |
| Nebraska Pediatric Practice, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Omaha, NE
- NPI 1013040369
-
- Pediatrics Physician
- Omaha, NE
- NPI 1144556333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1962540054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 N 53RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044948",
"telephone_number": "312-498-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S NEBRASKA",
"address_2": "8200 DODGE STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-955-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT, PCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2024-10-03",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NE",
"license": "2751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100044415-62762-01",
"state": "IL"
}
],
"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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.