Jordan J Makovicka, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3583 Issued in NE

Practice address

10831 Old Mill Rd
300
Omaha, NE 68154-2640

Phone

(402) 502-2290

Fax

(402) 505-3922

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

32.9 of 100Reported as group

Quality

0

Improvement activities

40

Cost

59.68

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Makovicka Harms Group, PC

  • Physical Therapist
  • Papillion, NE
  • NPI 1093077000
  NPD (past)
• Makovicka Sylliaasen PC

  • Physical Therapist
  • Wahoo, NE
  • NPI 1770539249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1154771269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168067",
            "telephone_number": "402-502-2290",
            "fax_number": "402-505-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10831 OLD MILL RD",
            "address_2": "300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542640",
            "telephone_number": "402-502-2290",
            "fax_number": "402-505-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOVICKA",
        "first_name": "JORDAN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie William Makohoniuk, M.D.
• Emily Elizabeth Makor, CRNA
• Olivia Makos
• Makou Deng Makou
• Makovicka Harms Group PC
• William Makuon
• Anais Malan
• Amanda Malashock, OTD
• Larry D. Malashock, O.D.
• Neal H Malashock, OD

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.