MISS MARY E KOUBA (NPI# 1962791962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962791962 |
| Entity Type | Individual |
| Full Name | MISS MARY E KOUBA |
| Other Name | MISS MOLLY E KOUBA |
| Credential | PT |
| Practice Address |
14705 W Plz Omaha NE 68137-2518 |
| Mailing Address |
14705 W Plaza Omaha NE 68137 |
| Practice Telephone | 4026517744 |
| Mailing Telephone | 4026517744 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
931 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DEPARTMENT HEALTH AND HUMAN SERVICES/PHYSICAL THERAPY | 931 | 01 |
| Street Address |
14705 W PLZ |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666831 | Margo Lutes | Physical Therapist | 444 S 44th Street, Omaha, NE 68198-4984 | 2015-08-13 |
| 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 |
| 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 |
| 1811545296 | Kassi Sue Williams | Physical Therapist | 10824 Old Mill Rd Ste 10-1, Omaha, NE 68154-2642 | 2019-08-29 |
| 1063914109 | Michelle B Clark | Physical Therapist | 17809 Pierce Plz, Omaha, NE 68130-1035 | 2018-03-05 |
| 1316397631 | Kelli M Eihusen | Physical Therapist | 17809 Pierce Plz, Children's Hospital & Medical Center, Omaha, NE 68130-1035 | 2016-06-17 |
| 1093175580 | Carissa L Rowberry | Physical Therapist | 17809 Pierce Plz, Children's Rehab Physical Therapy, Omaha, NE 68130-1035 | 2016-02-26 |
| 1568835114 | Kelly Denise Ealy | Physical Therapist | 5606 S 147th St, Omaha, NE 68137-2648 | 2015-11-04 |
| Find all providers in OMAHA | ||||
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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.