TOTAL REHAB PC (NPI# 1184678963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184678963 |
| Entity Type | Organization |
| Organization Name | TOTAL REHAB PC |
| Practice Address |
12425 N 96th St Omaha NE 68122-2033 |
| Practice Telephone | 4029172020 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN H WEAR (PRESIDENT) |
| Authorized Official Telephone | 402-917-2020 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
1156 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
1156 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1156 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225100000X | Physical Therapist | 02875 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251E1200X |
Physical Therapist Specialization: Ergonomics |
02875 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
02875 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
02875 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
02875 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225100000X | Physical Therapist | 1156 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251E1200X |
Physical Therapist Specialization: Ergonomics |
1156 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BC/BS | 98985 | 01 |
| NE | MULTIPLAN | BA-5551648 | 01 |
| NE | MIDLANDS CHOICE | F244798 | 01 |
| NE | BC/BS | 09248 | 01 |
| NE | BC/BS | 36530 | 01 |
| NE | 50766662613 | 05 | |
| NE | PREFERRED THERAPY PROVIDE | NE-1945-1002 | 01 |
| NE | COVENTRY | 264838 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689619306 | Total Rehab PC | Physical Therapist | 1279 S Naper Blvd, Naperville, IL 60540-8312 | 2006-06-17 |
| 1629249917 | Total Rehab PC | Physical Therapist | 100 E Irving Park Rd, Ste 107, Roselle, IL 60172-2048 | 2008-03-14 |
| Street Address |
12425 N 96TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538112834 | John H Wear | Physical Therapist | 12425 N 96th St, Omaha, NE 68122-2033 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249398 | Gerald E Jacobi | Physical Therapist | 10920 W Dodge Rd, Omaha, NE 68154-2612 | 2005-07-20 |
| 1427661495 | Blake David Jeffres | Physical Therapist | 2728 N 108th St Ste 103, Omaha, NE 68164-3763 | 2020-08-28 |
| 1003969619 | Mark T Rathjen | Physical Therapist | 17660 Wright Street, Suites 9/10, Omaha, NE 68130 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841256393 | Jerry E Weber | Physical Therapist | Univerisity of Nebraska Athletic Medicine Center, Osborne Athletic Complex, Lincoln, NE 68588-0128 | 2006-04-25 |
| 1528667540 | Zoe Otteman | Physical Therapist | 913 Village Sq, Gretna, NE 68028-7853 | 2020-10-21 |
| 1811137359 | Dustin Allen Huinker | Physical Therapist | 1908 N 203rd St, Suite #3, Elkhorn, NE 68022-2889 | 2009-02-24 |
| 1447315858 | Wildcat LLC | Physical Therapist | 111 Main St, Wayne, NE 68787-1923 | 2006-12-26 |
Please comment or provide details below to improve the information on TOTAL REHAB PC.
| 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.