MR. THOMAS JEFFREY MENDICK (NPI# 1205059789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205059789 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JEFFREY MENDICK |
| Credential | LMT,NCTMB |
| Practice Address |
9905 Sapp Brothers Dr Omaha NE 68138-3951 |
| Practice Telephone | 4022144055 |
| Mailing Telephone | 4022144055 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2072 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9905 SAPP BROTHERS DR |
| City | OMAHA |
| State | NE |
| Zip Code | 68138-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902311772 | Vicki D Thomas Carlentine | Nurse Practitioner | 9905 Sapp Brothers Dr, Omaha, NE 68138-3951 | 2017-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004513 | Pro Health Pain & Rehab LLC. | Chiropractor | 12744 Westport Parkway, Suite 1e, Lavista, NE 68138 | 2016-10-24 |
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1205165230 | Nina Dearmont Homan | Pharmacist | 10004 South 152nd St., Omaha, NE 68138 | 2009-12-22 |
| 1013131952 | Misty M Mitchell | Massage Therapist | 9905 Sapp Bros. Dr, Ste 4, Omaha, NE 68138 | 2007-04-12 |
| 1003105214 | Elizabeth Stephens Constance | Obstetrics & Gynecology | 7308 S 142nd St, Omaha, NE 68138 | 2011-03-29 |
| 1629244108 | Johanna L Hatcliff | Pharmacist | 14882 Giles Rd, Apt 101, Omaha, NE 68138-3148 | 2008-05-05 |
| 1700135084 | Kent R Brooks | Counselor | 14261 Rose Lane Rd, Omaha, NE 68138-3541 | 2012-09-02 |
| 1063878205 | Firstscan LLC | Clinic/Center | 9840 S 140th St, Suite 5, Omaha, NE 68138-3693 | 2016-01-04 |
| 1578509956 | Ah Pharmacy Services LLC | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2006-06-22 |
| 1003047507 | Professional Veterinary Products Ltd | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2009-07-31 |
| Find all providers in zip 68138 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829120 | Mary Ann Mcmichael | Massage Therapist | 12305 Gold St Ste 9, Omaha, NE 68144-2760 | 2020-07-24 |
| 1245854942 | Teri Lynn Hein | Massage Therapist | 11316 Davenport St, Omaha, NE 68154-2630 | 2020-05-29 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1710528849 | Jimi Clyde Hughes | Massage Therapist | 11932 Arbor St Ste 100, Omaha, NE 68144-2986 | 2019-09-30 |
| 1861985012 | Mitch A Johnson | Massage Therapist | 1817 N 169th Plz Ste B, Omaha, NE 68118-2822 | 2018-06-12 |
| 1114438082 | Elizabeth Collette Mcguire | Massage Therapist | 1215 Leavenworth St, Omaha, NE 68102-3214 | 2017-10-19 |
| 1063923910 | Kristi S Ellis | Massage Therapist | 15805 W Maple Rd Ste 106, Omaha, NE 68116-8249 | 2017-10-18 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1497103154 | Charla Jacob | Massage Therapist | 148 S 39th St, Omaha, NE 68131-3002 | 2016-06-02 |
| 1861848020 | Terry John Van Gelder | Massage Therapist | 1216 Howard St, Omaha, NE 68102-2819 | 2016-05-06 |
| 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.