Active NPI
Wholistic Therapy Services, LLC
- Pediatric Occupational Therapist
- Hastings, NE
National Provider Identifier
1982884102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1204
- Legal business name
- WHOLISTIC THERAPY SERVICES, LLC
- Practice address
- 240 W 94TH St
Hastings, NE 68901-1975 - Phone
- (402) 744-2000
- NPI assigned
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy M Dzingle-Niemoth, PTA
- Title
- Co-Owner
- Phone
- (402) 744-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2468 | NE | |
| Pediatric Occupational Therapist | 225XP0200X | 1204 | NE | Primary |
Addresses
Primary practice location
240 W 94TH St
Hastings, NE 68901-1975
Mailing address
240 W 94TH St
Hastings, NE 68901-1975
Phone (402) 744-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02302 | Other | NE | BCBSNE |
| 10025372500 | Medicaid | NE | |
| 02099 | Other | NE | BCBSNE |
| 10025372600 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
240 W 94th St
Hastings, NE 68901
Phone (402) 744-2000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hastings, NE
- NPI 1902176027
-
- Physical Therapist
- Hastings, NE
- NPI 1073728549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1982884102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 94TH ST",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689011975",
"telephone_number": "402-744-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 94TH ST",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689011975",
"telephone_number": "402-744-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLISTIC THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "DZINGLE-NIEMOTH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "402-744-2000",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NE",
"license": "2468",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NE",
"license": "1204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNE",
"identifier": "02302",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025372500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNE",
"identifier": "02099",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025372600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.