Healthcare Provider Details

I. General information

NPI: 1568301513
Provider Name (Legal Business Name): MARY COLLEEN SANKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 SOUTH ST
LINCOLN NE
68506-2150
US

IV. Provider business mailing address

9201 ROCKLAND CIR
LINCOLN NE
68526-9547
US

V. Phone/Fax

Practice location:
  • Phone: 402-413-3000
  • Fax: 402-413-3285
Mailing address:
  • Phone: 402-413-3000
  • Fax: 402-413-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number406
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: