KELLY JEAN NICOTERO (NPI# 1144522434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144522434 |
| Entity Type | Individual |
| Full Name | KELLY JEAN NICOTERO |
| Credential | DPT |
| Practice Address |
1005 E 23rd St Suite 200 Fremont NE 68025-0800 |
| Mailing Address |
4518 S 178th St Omaha NE 68135-3499 |
| Practice Telephone | 8667842329 |
| Practice Fax Number | 8775506600 |
| Mailing Telephone | 4022127842 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 004134 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 2267 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1005 E 23RD ST SUITE 200 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831306539 | Bror Christer Ljungqvist | Physical Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2007-05-16 |
| 1740643402 | Ashley Currier | Physical Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2016-03-31 |
| 1992171862 | Kelli Hatcher | Contractor | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2015-08-14 |
| 1558745034 | Susan Kay Pena | Occupational Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2015-07-15 |
| 1770983942 | Anne Jensvold | Speech-Language Pathologist | 1005 E 23rd St, Ste 200, Fremont, NE 68025-0800 | 2014-08-25 |
| 1588089452 | Charlene Gray | Occupational Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2014-02-28 |
| 1982034062 | Abigail Rassat | Physical Therapist | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2013-11-26 |
| 1023450137 | Great Plains Dental Specialists P.C. | Dentist | 1005 E 23rd St, Suite 202, Fremont, NE 68025-0800 | 2013-07-18 |
| 1518304526 | Rachel Lovato | Respiratory Therapist, Registered | 1005 E 23rd St, Suite 200, Fremont, NE 68025-0800 | 2013-05-30 |
| 1639424401 | Corey Knierim | Occupational Therapy Assistant | 1005 E 23rd St, Fremont, NE 68025-0800 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657911 | Sharan Walia | Physical Therapist | 44508 Vista Grande Ct, Fremont, CA 94539-3224 | 2020-04-03 |
| 1366073553 | Anna Maria Lukasik | Physical Therapist | 863 Ridgevie Terrace, Fremont, CA 94539 | 2020-01-28 |
| 1821634676 | Apoorva Phadke | Physical Therapist | 3627 Dickenson Cmn, Fremont, CA 94538-2279 | 2019-11-26 |
| 1033755400 | Valerie Naomi Ruiz | Physical Therapist | 105 Poppy Ct, Fremont, CA 94538-2426 | 2019-11-20 |
| 1629625645 | Noleen Barvilla | Physical Therapist | 555 Mowry Ave Ste E, Fremont, CA 94536-4101 | 2019-08-23 |
| 1942866033 | James Blizel | Physical Therapist | 48805 Lyra St, Fremont, CA 94539-7527 | 2019-05-14 |
| 1184192999 | Irena Tiffany Sun | Physical Therapist | 34135 Audrey Ct, Fremont, CA 94555-2513 | 2018-11-09 |
| 1548760077 | Athletico Excel Nebraska, LLC | Physical Therapist | 3301 E Elkhorn Dr Ste 200, Fremont, NE 68025-6240 | 2018-02-21 |
| 1821511502 | Army Patel | Physical Therapist | 39210 State St Ste 202, Fremont, CA 94538-1456 | 2017-07-25 |
| 1770036113 | Sunesh Kumar Reddy Bandi | Physical Therapist | 42873 Everglades Park Dr, Fremont, CA 94538-3977 | 2016-08-02 |
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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.