CMS-1500 Box 24J / 33a • NPI
1336928357
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
225X00000X (CMS 67)
Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
Box 32 Service Location & ZIP+4
1610 N COLUMBIA AVE, SEWARD, NE, 68434-1111
✓ 9-Digit EDI 837 ZIP+4 (68434-1111)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336928357 (BONVITA PEDIATRIC THERAPY AND LACTATION, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336928357 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BONVITA PEDIATRIC THERAPY AND LACTATION, LLC |
| Plain-English Specialty | Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: 225X00000X (Occupational Therapist) |
| Certifying / Licensing Body | National Board for Certification in Occupational Therapy (NBCOT) |
| Practice Location Address | 1610 N COLUMBIA AVE, SEWARD, NE, 68434-1111 |
| Practice Telephone / Fax | Tel: (402) 523-2128 |
| Administrative Mailing Address | 1610 N COLUMBIA AVE, SEWARD, NE, 68434-1111 |
| Enumeration & Last Sync | Enumerated: 2023-09-28 | CMS Record Updated: 2023-09-28 |
| Authorized Official | TEDDIE GENTER (Occupational Therapist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225X00000X)
What Does Taxonomy Code 225X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BONVITA PEDIATRIC THERAPY AND LACTATION, LLC)
Typical CPT / Diagnostic Procedures:- Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
- Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics
- Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
174N00000X — Lactation Consultant, Non-RNPlain English: Licensed & Credentialed Lactation Consultant, Non-RN | State: N/A | License: Verified | Primary: Secondary |
225XF0002X — Occupational Therapist, Feeding, Eating & SwallowingPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Secondary |
225XM0800X — Occupational Therapist, Mental HealthPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Secondary |
225XP0200X — Occupational Therapist, PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: N/A | License: Verified | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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