MEDICARE: NIOBRARA REHABILITATION AND HAND THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225XH1200X	Hand Occupational Therapist

General Provider Information

NPI Number	:	1821926452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIOBRARA REHABILITATION AND HAND THERAPY LLC

Provider Business Mailing Address
First Line	:	3834 RIVER RD
Second Line	:
City	:	MARSLAND
State	:	NE
Zip	:	69354-2718
Country	:	US
Telephone Number	:	402-266-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BOX BUTTE AVE
Second Line	:
City	:	HEMINGFORD
State	:	NE
Zip	:	69348-9700
Country	:	US
Telephone Number	:	402-266-1023
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	TALISA L BROWN
Credential	:	MOT, OTR/L, CHT
Telephone Number	:	402-266-1023

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	06/10/2026

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