Active Spine Physical Therapy, Llc in Omaha, NE - Medicare Physical Therapist Provider

Active Spine Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Omaha, Nebraska. Their current practice location is 11810 Nicholas St Ste 103, Omaha, Nebraska. You can reach out to their office (for appointments etc.) via phone at (402) 932-2888.

Active Spine Physical Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Spine Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508139494.

Contact Information

	Active Spine Physical Therapy, Llc
	11810 Nicholas St Ste 103, Omaha, NE 68154-4453
	(402) 932-2888
	(402) 932-2899

Map and Direction

Healthcare Provider's Profile

Full Name	Active Spine Physical Therapy, Llc
Type	Facility
Speciality	Physical Therapist
Location	11810 Nicholas St Ste 103, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508139494
Provider Enumeration Date: 02/22/2012
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2961664271
Enrollment ID: O20120503000103

Medical Identifiers

Medical identifiers for Active Spine Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508139494	NPI	-	NPPES
10026165702	Medicaid	NE
107512	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Spine Physical Therapy, Llc acts as a billing entity for following providers:

Provider Name	Nicholas C Muchowicz
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1568444784 PECOS PAC ID: 7416950522 Enrollment ID: I20060810000222

Provider Name	Jay D Herman
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1659495844 PECOS PAC ID: 5092885244 Enrollment ID: I20110729000303

Provider Name	Erik James Gapp
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1770003741 PECOS PAC ID: 9931478252 Enrollment ID: I20170629002560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Spine Physical Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Active Spine Physical Therapy, Llc 11810 Nicholas St Ste 103, Omaha, NE 68154-4453 Ph: (402) 932-2888	Active Spine Physical Therapy, Llc 11810 Nicholas St Ste 103, Omaha, NE 68154-4453 Ph: (402) 932-2888

Reviews and Comments

Physical Therapist in Omaha, NE

Ms. Mary Elizabeth Neary, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13609 California St, Omaha, NE 68154 Phone: 402-938-2030
Alison Helen Larsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9109 Blondo St, Omaha, NE 68134 Phone: 402-399-9993 Fax: 402-778-9739
Dr. James Baxa, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7712 N 80th Ave, Omaha, NE 68122 Phone: 402-319-7396
Joseph Osovski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5505 Grover St, Omaha, NE 68106 Phone: 402-558-0225
Mrs. Kelsi Blair Lemon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11623 Arbor St, Omaha, NE 68144 Phone: 800-334-1919
Allison Chae Jochimsen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17500 Burke St, Omaha, NE 68118 Phone: 402-401-3900
Hailey Christine Comer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 California Plz, Omaha, NE 68178 Phone: 402-280-2700

Active Spine Physical Therapy, Llc - Medicare Physical Therapist in Omaha, NE