Active NPI
Bradley Dean Dexter, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1225695554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2989
- Practice address
- 6404 N 70TH PLZ
Omaha, NE 68104-1074 - Phone
- (402) 573-3700
- NPI assigned
- May 22, 2019
- Last updated
- May 22, 2019
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 138136 | AK | |
| Physical Therapist | 225100000X | 0015921 | CO | |
| Physical Therapist | 225100000X | PT-6078 | ID | |
| Physical Therapist | 225100000X | 070024246 | IL | |
| Physical Therapist | 225100000X | 94659 | IA | |
| Physical Therapist | 225100000X | 11-06069 | KS | |
| Physical Therapist | 225100000X | 00761 | KY | |
| Physical Therapist | 225100000X | 5501019098 | MI | |
| Physical Therapist | 225100000X | 11339 | MN | |
| Physical Therapist | 225100000X | 2018035403 | MO | |
| Physical Therapist | 225100000X | PTP-PT-LIC-15122 | MT | |
| Physical Therapist | 225100000X | 3940 | NV | |
| Physical Therapist | 225100000X | PT5406 | NM | |
| Physical Therapist | 225100000X | 2246 | ND | |
| Physical Therapist | 225100000X | 2989 | NE | Primary |
Addresses
Primary practice location
6404 N 70TH PLZ
Omaha, NE 68104-1074
Mailing address
6404 N 70TH PLZ
Omaha, NE 68104-1074
Phone (402) 573-3700
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 |
|---|---|---|---|
| 2246 | ND | MD | Dentist |
| 138136 | AK | MD | Physical Therapist |
| 0015921 | CO | MD | Physical Therapist |
| 94659 | IA | MD | Physical Therapist |
| PT-6078 | ID | MD | Physical Therapist |
| 070024246 | IL | MD | Physical Therapist |
| 11-06069 | KS | MD | Physical Therapist |
| 00761 | KY | MD | Physical Therapist |
| 5501019098 | MI | MD | Physical Therapist |
| 11339 | MN | MD | Physical Therapist |
| 2018035403 | MO | MD | Physical Therapist |
| PTP-PT-LIC-15122 | MT | MD | Physical Therapist |
| 2989 | NE | MD | Physical Therapist |
| PT5406 | NM | MD | Physical Therapist |
| 3940 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1225695554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 N 70TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041074",
"telephone_number": "402-573-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 N 70TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041074",
"telephone_number": "402-573-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "BRADLEY",
"middle_name": "DEAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "138136",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0015921",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-6078",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024246",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "94659",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06069",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "00761",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019098",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11339",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018035403",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-15122",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3940",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5406",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2246",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2989",
"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 May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.