BLUE DOOR PEDIATRIC THERAPY, P.C. (NPI# 1497145387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497145387 |
| Entity Type | Organization |
| Organization Name | BLUE DOOR PEDIATRIC THERAPY, P.C. |
| Practice Address |
13049 Arlington St Omaha NE 68164-1643 |
| Practice Telephone | 4026801823 |
| Mailing Telephone | 4026801823 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | MRS. MELISSA BRADLEY-POTTER (OWNER) |
| Authorized Official Telephone | 4026801823 |
| Authorized Official Credential | M.A., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
1242 | NE | Ambulatory Health Care Facilities |
| Street Address |
13049 ARLINGTON ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396634 | Thrive Speech and Swallow Therapy | Clinic/Center | 5824 S 142nd St Ste B, Omaha, NE 68137-2872 | 2019-09-29 |
| 1821308024 | Speech Care Associates, LLC | Clinic/Center | 1320 N 113th Court, 4509, Omaha, NE 68154 | 2010-10-21 |
| 1245840966 | Active Hearing Health | Clinic/Center | 18010 R Plz Ste 107, Omaha, NE 68135-1923 | 2020-08-06 |
| 1881184851 | Northland Hearing Center Inc | Clinic/Center | 18010 R Plz Ste 107, Omaha, NE 68135-1923 | 2018-05-15 |
| 1073038980 | Speech Path LLC | Clinic/Center | 1805 N 126th Cir, Omaha, NE 68154-1213 | 2017-08-11 |
| 1962873489 | Kim Norris Speech Therapy Clinic | Clinic/Center | 11414 W Center Rd, Suite 316, Omaha, NE 68144-4486 | 2015-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922282 | Northland Hearing Centers, Inc. | Clinic/Center | 621 15th Ave, Franklin, NE 68939-1509 | 2019-10-07 |
| 1487295911 | Northland Hearing Centers, Inc. | Clinic/Center | 309 N Main St Ste 2, Ainsworth, NE 69210-1355 | 2019-10-07 |
| 1982265237 | Northland Hearing Centers, Inc. | Clinic/Center | 1040 S E St, Broken Bow, NE 68822-2430 | 2019-06-27 |
| 1255992509 | Northland Hearing Centers, Inc. | Clinic/Center | 410 W 9th St, Cozad, NE 69130-1345 | 2019-06-27 |
| 1538720990 | Northland Hearing Centers, Inc. | Clinic/Center | 11 John St, Alma, NE 68920-2153 | 2019-06-26 |
| 1952870123 | Northland Hearing Centers, Inc. | Clinic/Center | 110 W C St, Mc Cook, NE 69001-3600 | 2018-11-17 |
| 1679042840 | Northland Hearing Centers, Inc. | Clinic/Center | 148 1/2 E 1st St, Valentine, NE 69201-1802 | 2018-11-17 |
| 1659528131 | Northland Hearing Centers, Inc. | Clinic/Center | 400 E Norfolk Ave Ste C, Norfolk, NE 68701-5400 | 2008-08-26 |
| 1932356417 | Northland Hearing Centers, Inc. | Clinic/Center | 1405 N Cotner Blvd Ste 303, Lincoln, NE 68505-1691 | 2008-08-26 |
| 1902438385 | Anderson Mobile Therapy, LLC | Clinic/Center | 7834 N 153rd St, Bennington, NE 68007-1565 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.