Active NPI
Debra Rodgers-Olson, PT
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1982989612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001921A
- Practice address
- 5901 N 28TH St
Lincoln, NE 68504-9820 - Phone
- (402) 489-4700
- Fax
- (402) 489-5220
- NPI assigned
- Oct 13, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001921A | IN | Primary |
Addresses
Primary practice location
5901 N 28TH St
Lincoln, NE 68504-9820
Mailing address
1420 E Douglas Rd
Mishawaka, IN 46545-1733
Other practice location 1
4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552
Phone (402) 489-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5901 N 28TH St
Lincoln, NE 68504-9820
Phone (402) 489-4700
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.31 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001921A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Orthopaedic & Plastic Surgery, PC | Current | Accepting new patients | |
| Prairie Orthopaedic & Plastic Surgery, P.C. | Physical Therapist | Current | Accepting new patients |
| South Bend Orthopaedic Associates, Inc. | Past | Accepting new patients |
Locations
4130 Pioneer Woods Dr
Ste 1
Lincoln, NE 68506
Phone (402) 489-4700
5901 N 28th St
Lincoln, NE 68504
Phone (402) 489-4700
Interoperability endpoints
- https://api.platform.athenahealth.com/13070/brand/2/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1639206147
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1174243489
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1669421277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1982989612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 E DOUGLAS RD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 N 28TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685049820",
"telephone_number": "402-489-4700",
"fax_number": "402-489-5220"
}
],
"practiceLocations": [
{
"address_1": "4130 Pioneer Woods Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685067552",
"country_code": "US",
"telephone_number": "402-489-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS-OLSON",
"first_name": "DEBRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001921A",
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.