MARY C CONNOLLY PT
NPI 1770795023
Physical Therapist - Pediatrics in Omaha, NE

Active since May 07, 2007Accepts Medicare Assignment
17819 PIERCE PLZ, OMAHA, NE 68130(402) 955-8181 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2024, Nov 19, 2021 (2 updates tracked since 2021).

About Mary C Connolly Pt NPPES

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

MARY C CONNOLLY PT (NPI 1770795023) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (2840) and active in the NPI registry since May 2007. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1770795023
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMARY C CONNOLLYCredential: PT
Location Address17819 PIERCE PLZOmaha, NE 68130-1035
Mailing Address8200 Dodge StOmaha, NE 68114-4113 · (402) 955-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1770795023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NE · 2840
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
17819 PIERCE PLZ, Omaha, NE 68130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary C Connolly Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608029095
PECOS Enrollment IDI20251209003579

Medicare Billing Reassignment

Medicare enrollment records show Mary Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
17055 FRANCES ST STE 100
Omaha, NE 68130
  • Reassigned Medicare billing, Nebraska enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
17819 PIERCE PLZ
OMAHA, NE 68130
Physical Therapist (Sports)
17819 PIERCE PLZ
OMAHA, NE 68130

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 Mary Connolly's NPI number?

The NPI number for Mary Connolly is 1770795023. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Mary Connolly located?

Mary Connolly practices at 17819 Pierce Plz, Omaha, NE 68130. The listed phone number is (402) 955-8181.

What is Mary Connolly's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Mary Connolly enrolled in Medicare?

Yes. Mary Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Connolly reassigns Medicare benefits to Creighton University (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Connolly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Mary Connolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Connolly was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.