| Dr James Baxa, PT, DPT | |
| 
					7712 N 80th Ave, Omaha, NE 68122-2602  | |
| (402) 319-7396 | |
| Not Available | 
| Full Name | Dr James Baxa | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 7712 N 80th Ave, Omaha, Nebraska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003142126 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 2462 (Nebraska) | Primary | 
| 225100000X | Physical Therapist | 03934 (Iowa) | Secondary | 
| Provider Name | Liberty Venture Group, Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1770888406 PECOS PAC ID: 5597941369 Enrollment ID: O20110511000514  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr James Baxa, PT, DPT 7712 N 80th Ave, Omaha, NE 68122-2602 Ph: () -  | Dr James Baxa, PT, DPT 7712 N 80th Ave, Omaha, NE 68122-2602 Ph: (402) 319-7396  | 
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  | |
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  |