SUZANNE K WING-DOUGHERTY (NPI# 1013228477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013228477 |
| Entity Type | Individual |
| Full Name | SUZANNE K WING-DOUGHERTY |
| Credential | PT |
| Practice Address |
5930 Vandervoort Dr Ste A Lincoln NE 68516-2391 |
| Practice Telephone | 4024202099 |
| Practice Fax Number | 4024202823 |
| Mailing Telephone | 4024202099 |
| Mailing Fax Number | 4024202823 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47077636832 | 05 |
| Street Address |
5930 VANDERVOORT DR STE A |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518037894 | Mary F Ebers | Occupational Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2305 | 2006-11-08 |
| 1376916973 | Emily Collins | Occupational Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2391 | 2015-11-04 |
| 1588043301 | Kathryn Elise Deterding | Speech-Language Pathologist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2391 | 2015-05-26 |
| 1922349505 | Lindsey R Purrington-metzger | Occupational Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2391 | 2013-03-07 |
| 1790949634 | Annette L F Watts | Occupational Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2391 | 2008-07-10 |
| 1427122787 | Sara E Bills | Physical Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2305 | 2006-11-20 |
| 1629140215 | Diane M Boney | Occupational Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2305 | 2006-11-15 |
| 1790857910 | Catherine M Ebers | Physical Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2305 | 2006-11-14 |
| 1356412985 | Tera R Sasso-blahak | Physical Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2305 | 2006-11-13 |
| 1164592663 | Barbara A Wagner | Physical Therapist | 5930 Vandervoort Dr Ste A, Lincoln, NE 68516-2305 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841464344 | Sonya D Sawyer | Physical Therapist | 1732 Lombard Ln, Lincoln, CA 95648-3209 | 2008-04-15 |
| 1619359684 | Sarah Elizabeth Kennedy | Physical Therapist | 5930 Vandervoort Dr, Suite A, Lincoln, NE 68516-2391 | 2015-06-25 |
| 1699054726 | Ashley M Strehle | Physical Therapist | 2550 Superior St, Lincoln, NE 68521-4155 | 2011-08-07 |
| 1649313321 | Michelle Lee Crouse | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649804451 | Carnahan Pediatric Therapy, LLC | Physical Therapist | 800 N Front St Ste 510, Waterloo, NE 68069-2249 | 2020-03-02 |
| 1841666831 | Margo Lutes | Physical Therapist | 444 S 44th Street, Omaha, NE 68198-4984 | 2015-08-13 |
| 1962791962 | Mary E Kouba | Physical Therapist | 14705 W Plz, Omaha, NE 68137-2518 | 2011-03-31 |
| 1477888246 | Shireen D'ann Hauser-miller | Physical Therapist | 13336 Industrial Rd Ste 101, Omaha, NE 68137-1124 | 2009-10-12 |
| 1487988119 | Children's Rehab Physical Therapy | Physical Therapist | 17809 Pierce Plz, Children's Rehab - Physical Therapy, Omaha, NE 68130-1035 | 2009-09-29 |
| 1013140565 | Danielle R Thiessen | Physical Therapist | 10601 S 72nd St Ste 103, Papillion, NE 68046-3408 | 2009-09-01 |
| 1104949833 | Penni Jo Romero | Physical Therapist | 3460 Piney Creek Dr, Elkhorn, NE 68022-4420 | 2007-04-09 |
| 1386781854 | Linda E Janeczko | Physical Therapist | 506 Windsor Dr, Papillion, NE 68046-4154 | 2007-01-31 |
| 1093323867 | Chelsea Silva | Physical Therapist | 3516 N 163rd Plz, Omaha, NE 68116-2106 | 2020-07-17 |
| 1639710874 | Samantha M Rezab | Physical Therapist | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.