Organization Active NPI

Wholistic Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Hastings, NE
National Provider Identifier
1982884102
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1204 Issued in NE
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2468 NE
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02302OtherNEBCBSNE
10025372500MedicaidNE
02099OtherNEBCBSNE
10025372600MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.