NPI Code Details Logo

NPI 1952880957

NPI 1952880957 : DR. RACHEL ELIZABETH POLEDNA : OMAHA, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952880957
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DR. RACHEL ELIZABETH POLEDNA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/09/2018
-----------------------------------------------------
    Last Update Date     |    07/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7818 DODGE ST 
-----------------------------------------------------
    City                 |    OMAHA
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68114-3412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-493-6808
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2122 YORK RD STE 300 
-----------------------------------------------------
    City                 |    OAK BROOK
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60523-1925
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    630-575-1980
-----------------------------------------------------
    Fax                  |    630-928-5080
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    1307451
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    4150
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.