Active NPI
Trent McMullen, DPT
- Physical Therapist
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4594
- Practice address
- 222 N 192ND St
Elkhorn, NE 68022-5363 - Phone
- (402) 390-4111
- Fax
- (402) 390-4115
- NPI assigned
- Mar 20, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 4594 | NE | Primary |
Addresses
Primary practice location
222 N 192ND St
Elkhorn, NE 68022-5363
Mailing address
PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791
Other practice location 1
4235 N 90th St
Omaha, NE 68134-4136
Phone (402) 934-0045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 N 192ND St
Elkhorn, NE 68022-2811
Phone (402) 390-4111
4235 N 90TH St
Omaha, NE 68134-4136
Phone (402) 934-0045
4530 N 167TH St
Omaha, NE 68116-2962
Phone 40299001431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group PC | Physical Therapist | Current | Accepting new patients |
| MD West One, PC | Physical Therapist | Current | Accepting new patients |
| Strive Physical Therapy | Physical Therapist | Current | Accepting new patients |
| MD West One, PC | Current | Accepting new patients | |
| Makovicka Harms Group, PC | Physical Therapist | Past | Accepting new patients |
Locations
222 N 192nd St
Elkhorn, NE 68022
4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045
8005 Farnam Dr
Ste 305
Omaha, NE 68114
8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Elkhorn, NE
- NPI 1740933530
-
- Physical Therapist
- Papillion, NE
- NPI 1093077000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1124888995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34669",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340669",
"telephone_number": "402-932-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 192ND ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225363",
"telephone_number": "402-390-4111",
"fax_number": "402-390-4115"
}
],
"practiceLocations": [
{
"address_1": "4235 N 90th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681344136",
"country_code": "US",
"telephone_number": "402-934-0045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMULLEN",
"first_name": "TRENT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-20",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.