Organization Active NPI

Kobza Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Gretna, NE
National Provider Identifier
1104417567
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KOBZA PHYSICAL THERAPY LLC
Practice address
11863 S 216TH St Ste 4
Gretna, NE 68028-5406
Phone
(402) 502-9004
Fax
(402) 502-9006
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Dr. Aaron Michael Kobza, DPTNPI 1033377494
Title
Owner
Phone
(402) 680-1617

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 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
O20210317001909 NE Part B Supplier - Clinic/Group Practice 8325454309 Receives reassigned benefits from 2 practitioners
Practice locations: Gretna, NE

National Provider Directory

National Provider Directory

Locations

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

11863 S 216th St
Gretna, NE 68028

Practitioners & affiliated clinicians

Practitioners 2

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1104417567",
    "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",
            "fax_number": "402-502-9006"
        },
        {
            "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": {
        "organization_name": "KOBZA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "KOBZA",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-680-1617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 16, 2021; 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.