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MISS LACY RAE PHILLIPS PTA
NPI 1487214391
Physical Therapist - Geriatrics in Omaha, NE

Active since June 13, 2019
4102 WOOLWORTH AVE, OMAHA, NE 68105(402) 444-7000 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Lacy Rae Phillips Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LACY RAE PHILLIPS PTA (NPI 1487214391) is an individual geriatrics provider in Omaha, Nebraska, licensed in Nebraska (1106) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1487214391
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameMISS LACY RAE PHILLIPSCredential: PTA
Location Address4102 WOOLWORTH AVEOmaha, NE 68105-1851
Mailing Address4733 S Ranch CirBlair, NE 68008-6436 · (712) 314-1681
Phone(402) 444-7000
Sole ProprietorNo
Enumeration DateJune 13, 2019
✔ NPI 1487214391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NE · 1106
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
4102 WOOLWORTH AVE, Omaha, NE 68105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS COUNTY NEBRASKA
Psychiatric Hospital
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7608
MICHAELLE VEGA-HERNANDEZ
Peer Specialist
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-5200
MS. JESSICA LYNN SMEAL LMHP, LADC
Counselor (Mental Health)
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7931
HEIDI MICHELLE BERTHELSEN
Speech-Language Pathologist
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7000
DANIEL T WILLIAMS
Hearing Instrument Specialist
4102 WOOLWORTH AVE, SUITE 100
OMAHA, NE 68105
Douglas County (402) 444-1696
LAURA PATRICIA SWANSON MSW
Counselor
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7000
CYNTHIA WATSON
Case Manager/Care Coordinator
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7000
RAMONA MARGARET ZEPHIER PAC
Physician Assistant (Medical)
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacy Phillips's NPI number?

The NPI number for Lacy Phillips is 1487214391. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Lacy Phillips located?

Lacy Phillips practices at 4102 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 444-7000.

What is Lacy Phillips's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Lacy Phillips was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.