Active NPI
Angela Marie Ralston, P.T.
- Physical Therapist
- Omaha, NE
National Provider Identifier
1962766568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2031
- Practice address
- 8011 Chicago St
Omaha, NE 68114-3533 - Phone
- (402) 659-4991
- Fax
- (402) 933-6345
- NPI assigned
- Jun 28, 2012
- 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 | 2031 | NE | Primary |
Addresses
Primary practice location
8011 Chicago St
Omaha, NE 68114-3533
Mailing address
1410 Bearcreek Cir
Papillion, NE 68046-3306
Phone (402) 738-1451
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2031 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosource, Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1053395350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1962766568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 BEARCREEK CIR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463306",
"telephone_number": "402-738-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8011 CHICAGO ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143533",
"telephone_number": "402-659-4991",
"fax_number": "402-933-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2031",
"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 Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.