Organization Active NPI

Progressive Rehabilitation Inc

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1053435263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1669 Issued in NE
Legal business name
PROGRESSIVE REHABILITATION INC
Practice address
7919 Wakeley PLZ
Omaha, NE 68114-3677
Phone
(402) 393-8384
Fax
(402) 393-8369
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay D Herman, DPT
Title
Physical Therapist
Phone
(402) 393-8384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1669 NE Primary

Addresses

Primary practice location

7919 Wakeley PLZ
Omaha, NE 68114-3677

Mailing address

7919 Wakeley PLZ
Omaha, NE 68114-3677
Phone (402) 393-8384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053435263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 WAKELEY PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143677",
            "telephone_number": "402-393-8384",
            "fax_number": "402-393-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 WAKELEY PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143677",
            "telephone_number": "402-393-8384",
            "fax_number": "402-393-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-393-8384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.