Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Lacy Rae Phillips, PTA

Individual provider Geriatric Physical Therapist · NPI 1487214391

Miss. Lacy Rae Phillips, PTA is a Geriatric Physical Therapist in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2019.

Licensed in
NE
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4102 Woolworth Ave
Omaha, NE 68105-1851
Phone: (402) 444-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 1106 (NE)

Record details

NPI number1487214391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESJune 13, 2019

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