Active NPI
Emmilie Kosiba
- Occupational Therapist
- Lincoln, NE
National Provider Identifier
1962861724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2513
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2513 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Schmidt Speech Language Pathology Services LLC | Occupational Therapist | Current | 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.
-
- Speech-Language Pathologist
- Lincoln, NE
- NPI 1376965640
Occupational Therapist
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.