Individual provider Active NPI

Trent McMullen, DPT

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1124888995
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4594 Issued in NE
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

Updated by the provider on Mar 9, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20240411004434 NE Practitioner - Physical Therapist in Private Practice 2961841812 Reassigns benefits to 3 organizations

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
MD West One PCGroup PAC ID 0446228852, 89 clinicians
Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians
Strive Physical TherapyGroup PAC ID 2466851506, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
MD West One, PC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Strive Physical Therapy Physical Therapist CurrentSince Mar 20, 2025 Accepting new patients
MD West One, PC CurrentSince Dec 1, 2025 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.

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.

Verify at the official NPI Registry.