Individual provider Active NPI

Emmilie Kosiba

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1962861724
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2513 Issued in NE
Practice address
8525 Executive Woods Dr
Lincoln, NE 68512-9300
Phone
(402) 942-1329
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Occupational Therapist 225X00000X 2513 NE Primary

Addresses

Primary practice location

8525 Executive Woods Dr
Lincoln, NE 68512-9300

Mailing address

3925 S 147TH St Ste 109-111
Omaha, NE 68144-5565
Phone (402) 942-1329

Other practice location 1

444 S. 44th St.
Omaha, NE 68131
Phone (402) 559-3563

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

LicenseStateTypeSpecialty
2513NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Physical Therapy PC Occupational Therapist CurrentSince Sep 1, 2021 Accepting new patients
Schmidt Speech Language Pathology Services LLC Occupational Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

8525 Executive Woods Dr
Lincoln, NE 68512
Phone (403) 942-1329

600 E Benjamin Ave
Norfolk, NE 68701
Phone (402) 370-3330

3925 S 147th St
Ste 109111
Omaha, NE 68144

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.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1962861724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 S 147TH ST STE 109-111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445565",
            "telephone_number": "402-942-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 EXECUTIVE WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129300",
            "telephone_number": "402-942-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 S. 44th St.",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68131",
            "country_code": "US",
            "telephone_number": "402-559-3563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSIBA",
        "first_name": "EMMILIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.