Individual provider · Type 1 NPI
Mirella A. Gatterdam, DPT
Pediatric Physical Therapist · Elkhorn, NE
Practice location
20502 Roosevelt St
Elkhorn, NE 68022-4148
Fax (402) 955-8001
Mailing address
PO Box 24607
Omaha, NE 68124-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 4979 (NE) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
7 other providers at this address
- Abigail Rebecca SquirePediatric Occupational Therapist Elkhorn, NE NPI 1134786973
- Allison R. Ocel, AUDAudiologist-Hearing Aid Fitter Elkhorn, NE NPI 1023991106
- Amy R. Hruby, SLPSpeech-Language Pathologist Elkhorn, NE NPI 1619881778
- Benjamin Aaron Fugitt, PT, DPT, CSCSSports Physical Therapist Elkhorn, NE NPI 1275429086
- Julie M. Thornton, AUDAudiologist-Hearing Aid Fitter Elkhorn, NE NPI 1659299360
- Justin L. Blatchford, PTPediatric Physical Therapist Elkhorn, NE NPI 1356820989
- Kody A. Moffatt, MDPediatric Sports Medicine Physician Elkhorn, NE NPI 1124139043
Other pediatric physical therapist providers in Elkhorn
About NPI 1053247684
Mirella A. Gatterdam, DPT's National Provider Identifier is 1053247684, issued on Jun 22, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Elkhorn, NE. The record was last updated on Jun 23, 2026.