Jessica Michelle Porter, OTD, OTR/L | |
610 S Polk St, Papillion, NE 68046-2548 | |
(402) 339-7700 | |
Not Available |
Full Name | Jessica Michelle Porter |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 610 S Polk St, Papillion, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538833538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 2570 (Nebraska) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220418001589 |
Mailing Address | Practice Location Address |
---|---|
Jessica Michelle Porter, OTD, OTR/L 4504 Mark St, Papillion, NE 68133-2318 Ph: (913) 963-9517 | Jessica Michelle Porter, OTD, OTR/L 610 S Polk St, Papillion, NE 68046-2548 Ph: (402) 339-7700 |
Krista Wear, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 S Washington St, Papillion, NE 68046 Phone: 402-537-6222 | |
Leanna Marie Fronckowiak, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 S 72nd St, Papillion, NE 68046 Phone: 402-932-2782 | |
Lisa S Scheet, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Rogers Dr, Papillion, NE 68046 Phone: 402-331-2593 | |
Ms. Kristin Lea Fricke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 S Washington St, Papillion, NE 68046 Phone: 402-537-6222 | |
Jessica Marie Ackermann, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10791 S 72nd St, 103, Papillion, NE 68046 Phone: 402-932-2782 Fax: 402-932-2705 | |
Allison Langford Butler, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 S 72nd St, Papillion, NE 68046 Phone: 402-932-2782 | |
Mrs. Kimberly Kay Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 S Polk St, Papillion, NE 68046 Phone: 402-339-7700 |