Active NPI
Joseph A Vance, MPT
- Physical Therapist
- Offutt AFB, NE
National Provider Identifier
1215920772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2426
- Practice address
- 2501 Capehart Rd
Offutt AFB, NE 68113-1043 - Phone
- (402) 294-8509
- NPI assigned
- Aug 30, 2005
- Last updated
- Apr 2, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1047 | ND | |
| Physical Therapist | 225100000X | 2426 | NE | Primary |
Addresses
Primary practice location
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Mailing address
809 Edgewood Blvd
Papillion, NE 68046-6149
Phone (402) 884-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047 | ND | MD | Occupational Therapy Assistant |
| 2426 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1215920772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 EDGEWOOD BLVD",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680466149",
"telephone_number": "402-884-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CAPEHART RD",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "681131043",
"telephone_number": "402-294-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1047",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Offutt AFB, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.