TOTAL REHAB, P.C. (NPI# 1003990854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003990854 |
| Entity Type | Organization |
| Organization Name | TOTAL REHAB, P.C. |
| Practice Address |
10920 W Dodge Rd Omaha NE 68154-2612 |
| Practice Telephone | 4029172020 |
| Practice Fax Number | 4025713229 |
| Mailing Telephone | 4029172020 |
| Mailing Fax Number | 4025713229 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAKE WEAR (OWNER) |
| Authorized Official Telephone | 4029172020 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 50766662613 | 05 | |
| NE | BLUE CROSS | 09248 | 01 |
| Street Address |
10920 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249398 | Gerald E Jacobi | Physical Therapist | 10920 W Dodge Rd, Omaha, NE 68154-2612 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831681691 | Bussey Physical Therapy, LLC | Clinic/Center | 10156 S 168th Ave Ste 3, Omaha, NE 68136-4240 | 2018-06-06 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1689121360 | Specialized Physical Therapy | Clinic/Center | 7611 Pacific St, Omaha, NE 68114-5420 | 2016-09-09 |
| 1811440571 | Coreworks Physical Therapy | Clinic/Center | 11303 Wright Cir, Omaha, NE 68144-4738 | 2016-07-29 |
| 1760738652 | Mcguigan Physical Therapy Specialists LLC | Clinic/Center | 15825 W Maple Rd, Suite 102, Omaha, NE 68116-8253 | 2012-07-28 |
| 1659675635 | Physiotherapy Associates, Inc | Clinic/Center | 200 S 31st Ave, Suite 4101, Omaha, NE 68131-1404 | 2011-01-05 |
| 1932414604 | Community Rehab Inc. | Clinic/Center | 12301 No. 149th Circle, Ridgewood Clubhouse, Omaha, NE 68007 | 2010-08-18 |
| 1083859680 | The Rehab Guru, P.C. | Clinic/Center | 366 N 114th St, 16909 Burke St. Suite 200, Omaha, NE 68154-2517 | 2008-12-10 |
| 1174654388 | Occupational Health Centers of Nebraska, P.C. | Clinic/Center | 2900 F St, Omaha, NE 68107-1533 | 2007-03-08 |
| 1407987654 | Occupational Health Centers of Nebraska, P.C. | Clinic/Center | 9602 M St, Omaha, NE 68127-2053 | 2007-03-08 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.