Healthcare Provider Details

I. General information

NPI: 1639044589
Provider Name (Legal Business Name): EMILY ROBERTS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 E HENRY ST
LOUISVILLE NE
68037-7023
US

IV. Provider business mailing address

926 3RD AVENUE CIR
LOUISVILLE NE
68037-6094
US

V. Phone/Fax

Practice location:
  • Phone: 402-705-3359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number2116
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2116
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: