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

Petra Upshaw

Individual provider Physical Therapy Assistant · NPI 1669952404

Petra Upshaw is a Physical Therapy Assistant in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

11808 Grant St Fl 100
Omaha, NE 68164-3616
Phone: (877) 230-3885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA.06794 (OH)

Record details

NPI number1669952404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2018
Last updated in NPPESAugust 21, 2018
Mailing address11808 Grant St Fl 100, Omaha, NE 68164-3616

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