Individual provider Active NPI

Alex Trautman, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1114640083
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
920 S 107TH Ave Ste 211
Omaha, NE 68114-4791
Phone
(605) 961-7250
Fax
(605) 496-0938
NPI assigned
Sep 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

920 S 107TH Ave Ste 211
Omaha, NE 68114-4791

Mailing address

920 S 107TH Ave Ste 211
Omaha, NE 68114-4791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004003452 NE Practitioner - Physical Therapist in Private Practice 3476939000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4418NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empower U LLC Physical Therapist Current Accepting new patients
Witte Physical Therapy Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Empower Subco LLC Physical Therapist CurrentSince Dec 7, 2025 Accepting new patients

Locations

1268 E Henry St
Ste 1
Louisville, NE 68037
Phone (402) 233-4333

920 S 107th Ave
Ste 211
Omaha, NE 68114
Phone (402) 979-1775

16304 Westside Dr
Ste 400
Plattsmouth, NE 68048
Phone (402) 298-4747

Organizations & group practices 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1114640083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S 107TH AVE STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S 107TH AVE STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144791",
            "telephone_number": "605-961-7250",
            "fax_number": "605-496-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTMAN",
        "first_name": "ALEX",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 22, 2024; 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.