Provider Demographics
NPI:1972624427
Name:LITTLE STEPS PEDIATRIC THERAPY P C
Entity Type:Organization
Organization Name:LITTLE STEPS PEDIATRIC THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNACKER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR-L
Authorized Official - Phone:308-440-5357
Mailing Address - Street 1:9485 HWY 40
Mailing Address - Street 2:PO BOX 25
Mailing Address - City:AMHERST
Mailing Address - State:NE
Mailing Address - Zip Code:68812
Mailing Address - Country:US
Mailing Address - Phone:308-440-5357
Mailing Address - Fax:
Practice Address - Street 1:9485 HWY 40
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NE
Practice Address - Zip Code:68812
Practice Address - Country:US
Practice Address - Phone:308-440-5357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE880261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025375200Medicaid