Active NPI
Mary E Morton, PT
- Pediatric Physical Therapist
- Omaha, NE
National Provider Identifier
1962791962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 931
- Practice address
- 14705 W PLZ
Omaha, NE 68137-2518 - Phone
- (402) 651-7744
- NPI assigned
- Mar 31, 2011
- 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 | 931 | NE | Primary |
Addresses
Primary practice location
14705 W PLZ
Omaha, NE 68137-2518
Mailing address
15345 Amy PLZ
Omaha, NE 68137-1585
Phone (402) 651-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 931 | Other | NE | DEPARTMENT HEALTH AND HUMAN SERVICES/PHYSICAL THERAPY |
Other names 1
- Miss Mary E Kouba
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 |
|---|---|---|---|
| 931 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1962791962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15345 AMY PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371585",
"telephone_number": "402-651-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14705 W PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372518",
"telephone_number": "402-651-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NE",
"license": "931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT HEALTH AND HUMAN SERVICES/PHYSICAL THERAPY",
"identifier": "931",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "KOUBA",
"middle_name": "E",
"prefix": "MISS",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 5, 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.