Active NPI
Alex Trautman, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1114640083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4418 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower U LLC | Physical Therapist | Current | Accepting new patients |
| Witte Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Empower Subco LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Louisville, NE
- NPI 1902298730
Physical Therapist
-
- Physical Therapist
- Omaha, NE
- NPI 1427911429
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1245855998
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.