Individual provider Active NPI

Aaron Michael Kobza, DPT

  • Physical Therapist
  • Gretna, NE
National Provider Identifier
1033377494
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2642 Issued in NE
Practice address
11863 S 216TH St Ste 4
Gretna, NE 68028-5406
Phone
(402) 502-9004
Fax
(402) 502-9006
NPI assigned
Jun 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004235 IA
Physical Therapist 225100000X 2642 NE Primary

Addresses

Primary practice location

11863 S 216TH St Ste 4
Gretna, NE 68028-5406

Mailing address

2110 S 186TH St
Omaha, NE 68130-2773
Phone (402) 680-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000023 NE Practitioner - Physical Therapist in Private Practice 0648342766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kobza Physical Therapy LLCGroup PAC ID 8325454309, 2 clinicians

Practice addresses (Care Compare)

11863 S 216TH St
Suite 4
Gretna, NE 68028-5406
Phone (402) 680-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2642NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kobza Physical Therapy LLC CurrentSince Mar 1, 2021 Accepting new patients
Excel Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

11863 S 216th St
Gretna, NE 68028

11863 S 216th St
Ste 4
Gretna, NE 68028
Phone (402) 502-9004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1033377494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S 186TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302773",
            "telephone_number": "402-680-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11863 S 216TH ST STE 4",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680285406",
            "telephone_number": "402-502-9004",
            "fax_number": "402-502-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBZA",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004235",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.