Healthcare Provider Details

I. General information

NPI: 1821926452
Provider Name (Legal Business Name): NIOBRARA REHABILITATION AND HAND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BOX BUTTE AVE
HEMINGFORD NE
69348-9700
US

IV. Provider business mailing address

3834 RIVER RD
MARSLAND NE
69354-2718
US

V. Phone/Fax

Practice location:
  • Phone: 402-266-1023
  • Fax:
Mailing address:
  • Phone: 402-266-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

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