DR. MICHAEL EMERY BLACK (NPI# 1952655888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952655888 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EMERY BLACK |
| Other Name | MR. MIKE BLACK |
| Credential | DPT |
| Practice Address |
2525 S 135th Ave Omaha NE 68144-2424 |
| Mailing Address |
2525 South 135th Avenue Omaha NE 68144 |
| Practice Telephone | 4023332304 |
| Mailing Telephone | 4023332304 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2314 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061390 | Michael Richard Black | Psychologist | 2913 N Commonwealth Ave Rm 301, Saint Joseph Hospital Campus, Manor Building, Chicago, IL 60657-6211 | 2011-06-22 |
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1437703873 | Michael Anthony Black | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2019-07-24 |
| 1104488816 | Michael David Black | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1376016873 | Michael Vincent Black | Specialist/Technologist | 535 E 70th St, New York, NY 10021-4823 | 2019-01-07 |
| 1750858072 | Michael R Black | Registered Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-24 |
| 1134652217 | Michael Black | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-04-06 |
| 1780124560 | Michael W Black | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2017-02-28 |
| 1851732499 | Michael Anthony Black | Marriage & Family Therapist | 1313 E Maple St, Bellingham, WA 98225-5708 | 2013-07-11 |
| 1659679199 | Michael Black | Counselor | 1212 S Broadway, Suite 200, Denver, CO 80210-1582 | 2011-03-08 |
| Street Address |
2525 S 135TH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639116064 | Montclair Healthcare LLC | Skilled Nursing Facility | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2006-06-02 |
| 1578177911 | Jennifer Owens | Speech-Language Pathologist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2020-09-02 |
| 1952950073 | Suzanne Claire Syslo | Occupational Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2019-09-11 |
| 1851855480 | Taylor Lauren Williams | Occupational Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2019-01-28 |
| 1841795200 | Sara Mcwilliams | Speech-Language Pathologist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2018-03-28 |
| 1174025399 | Theresa Staley | Physical Therapy Assistant | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2018-03-03 |
| 1679001267 | Morgan Bailey | Physical Therapy Assistant | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2017-05-26 |
| 1720513559 | Ann Williams | Speech-Language Pathologist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2017-04-30 |
| 1336671783 | Rachel Beber | Occupational Therapy Assistant | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2017-04-03 |
| 1205286309 | Ahmo, LLC | Skilled Nursing Facility | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336691385 | Lorela Paronable | Physical Therapist | 3202 N 171st Ave, Omaha, NE 68116-2348 | 2016-10-25 |
| 1598018046 | Ditta Huser | Physical Therapist | 15236 Garfield St, Omaha, NE 68144-5408 | 2012-10-22 |
| 1487214391 | Lacy Rae Phillips | Physical Therapist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-13 |
| 1538502364 | Marie Gruenes | Physical Therapist | 11414 West Center Road, 125, Omaha, NE 68144 | 2013-04-11 |
| 1619225893 | Julie Ann Gentleman | Physical Therapist | 1000 N 90th St, Suite 203, Omaha, NE 68114-2764 | 2012-08-20 |
| 1063790582 | Barbara Nell Bradley | Physical Therapist | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-08-01 |
| 1447469960 | Teresa M. Cochran | Physical Therapist | 7100 W Center Rd, Omaha, NE 68106-2700 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356602718 | Stephanie Stevens | Physical Therapist | 12393 B Rd, Polk, NE 68654 | 2012-06-01 |
| 1740568161 | Brenda L Gawrych | Physical Therapist | 3131 N 267th Plz, Waterloo, NE 68069-5833 | 2011-08-02 |
| 1780827998 | Lance Destefano | Physical Therapist | 1622 Walnut St, Syracuse, NE 68446-7017 | 2009-04-17 |
| 1639724677 | Lydia Katherine Moore | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2019-08-06 |
| 1740834811 | Morgan Soucie | Physical Therapist | 926 E E St, Hastings, NE 68901-6617 | 2019-07-28 |
| 1609328392 | Jenna Rose Engelken | Physical Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-27 |
| 1013468123 | Ann Elizabeth Kastrup | Physical Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-24 |
| 1023470630 | Christine Montes | Physical Therapist | 450 E 23rd St, Fremont, NE 68025-2303 | 2016-03-23 |
| 1285042820 | Hannah Behrens | Physical Therapist | 1804 Hillcrest Dr, Bellevue, NE 68005-3663 | 2014-07-28 |
| 1710320502 | Nicholas Matthew Breunig | Physical Therapist | 1760 County Road J, Wahoo, NE 68066-4152 | 2013-04-10 |
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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.