TARA OTIS (NPI# 1629269568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629269568 |
| Entity Type | Individual |
| Full Name | TARA OTIS |
| Credential | OTR/L, CHT |
| Practice Address |
2725 S 144th St Suite 218 Omaha NE 68144-5243 |
| Practice Telephone | 4026370750 |
| Mailing Telephone | 4026370750 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
611 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2725 S 144TH ST SUITE 218 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528047156 | Michael Elvin Roberts | Specialist/Technologist | 2725 S 144th St, Ste 212, Omaha, NE 68144-5243 | 2006-01-12 |
| 1790308997 | Amy Lynn Baldwin | Nurse Anesthetist, Certified Registered | 2725 S 144th St, Omaha, NE 68144-5243 | 2020-05-21 |
| 1346788916 | Katherine M Smith | Physician Assistant | 2725 S 144th St, Ste 212, Omaha, NE 68144-5243 | 2017-02-03 |
| 1063751477 | Adrienne D. Dickmeyer | Physician Assistant | 2725 S 144th St, Ste 212, Omaha, NE 68144-5253 | 2013-02-05 |
| 1942515176 | Eric C. Smoyer | Physical Therapist | 2725 S 144th St, Suite 218, Omaha, NE 68144-5243 | 2010-08-12 |
| 1689905689 | Melissa K Hall | Physician Assistant | 2725 S 144th St, #110, Omaha, NE 68144-5243 | 2010-01-15 |
| 1104083005 | Sonya V Wemhoff | Physician Assistant | 2725 S 144th St, #110, Omaha, NE 68144-5243 | 2008-05-19 |
| 1528259462 | Tom Niemann | Physical Therapist | 2725 S 144th St, Ste 218, Omaha, NE 68144-5243 | 2007-08-06 |
| 1396936233 | Douglas G Page | Physical Therapist | 2725 S 144th St, Suite 218, Omaha, NE 68144-5243 | 2007-08-06 |
| 1306062716 | John Patrick Woodward | Physical Therapist | 2725 S 144th St, Ste. 218, Omaha, NE 68144-5243 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538175054 | Douglas Neil Fox | Occupational Therapist | 7902 Davenport St, Omaha, NE 68114-3631 | 2006-08-01 |
| 1922049337 | The Hand Therapy Center of Omaha | Occupational Therapist | 7808 Davenport St, Omaha, NE 68114-3629 | 2006-06-08 |
Please comment or provide details below to improve the information on TARA OTIS.
| 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.