Organization Active NPI

Executive Health Solutions, LLC

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1063979185
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXECUTIVE HEALTH SOLUTIONS, LLC
Practice address
1016 S 74TH PLZ
Omaha, NE 68114-4642
Phone
(402) 939-8026
Fax
(402) 249-5497
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Christopher C Erickson, DPTNPI 1255534764
Title
Owner
Phone
(402) 320-8770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1016 S 74TH PLZ
Omaha, NE 68114-4642

Mailing address

5003 Crogans Way Rd
Council Bluffs, IA 51501-8616
Phone (402) 320-8770

Other practice location 1

21015 Cumberland Dr Ste 201
Elkhorn, NE 68022-4110
Phone (402) 932-5394

Other practice location 2

5003 Crogans Way Rd
Council Bluffs, IA 51501-8616
Phone (402) 320-8770

Other names 1

  • EHS Physical Therapy & Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190611001126 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113250929 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE; Elkhorn, NE
O20220503002528 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113250929 Receives reassigned benefits from 1 practitioner
Practice locations: Missouri Valley, IA

National Provider Directory

National Provider Directory

Locations

21015 Cumberland Dr
Elkhorn, NE 68022
Phone (402) 505-8504

1016 S 74th Plz
Omaha, NE 68114
Phone (402) 939-8026

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1063979185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 CROGANS WAY RD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515018616",
            "telephone_number": "402-320-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S 74TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144642",
            "telephone_number": "402-939-8026",
            "fax_number": "402-249-5497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21015 Cumberland Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680224110",
            "country_code": "US",
            "telephone_number": "402-932-5394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5003 Crogans Way Rd",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515018616",
            "country_code": "US",
            "telephone_number": "402-320-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXECUTIVE HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-320-8770",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHS Physical Therapy & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.