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

Ridley Theresa Loree, PAC

Individual provider Physician Assistant · NPI 1497431050

Ridley Theresa Loree, PAC is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2024, 2 years ago. Practices with Orthowest, LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
2
Trained at
University of Nebraska College of Medicine
Licensed in
IA, NE
In the registry since
2023
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2725 S 144th St Ste 212
Omaha, NE 68144-5253
Phone: (402) 609-3000
Fax: (402) 609-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3216 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 130521 (IA)

Record details

NPI number1497431050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Orthowest, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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