Individual provider Active NPI

Kevin James Robinson, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1336376599
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2128 Issued in NE
Practice address
2728 N 108TH St Ste 103
Omaha, NE 68164-3763
Phone
(402) 939-7939
Fax
(402) 939-7939
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 2128 NE
Orthopedic Physical Therapist 2251X0800X 2128 NE
Physical Therapist 225100000X 2128 NE Primary

Addresses

Primary practice location

2728 N 108TH St Ste 103
Omaha, NE 68164-3763

Mailing address

2728 N 108TH St Ste 103
Omaha, NE 68164-3763
Phone (402) 939-7939

Other practice location 1

7611 Pacific St
Omaha, NE 68114-5420
Phone (402) 763-8774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130605000313 NE Practitioner - Physical Therapist in Private Practice 5890826085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 N 205TH St
Suite 140
Elkhorn, NE 68022-4740
Phone (402) 289-5013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2128NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Exstrom Physical Therapy Inc Physical Therapist PastSince Apr 1, 2003 Accepting new patients
Nebraska City Physical Therapy, LLC Physical Therapist PastSince Sep 1, 2022 Accepting new patients

Locations

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

15767 Hadan Dr
Bennington, NE 68007
Phone (402) 238-2552

1405 N 205th St
Ste 140
Elkhorn, NE 68022
Phone (402) 289-5013

2728 N 108th St
Ste 103
Omaha, NE 68164
Phone (402) 939-7939

7611 Pacific St
Omaha, NE 68114
Phone (402) 763-8774

Organizations & group practices 4

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1336376599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 N 108TH ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643763",
            "telephone_number": "402-939-7939",
            "fax_number": "402-939-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 N 108TH ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643763",
            "telephone_number": "402-939-7939",
            "fax_number": "402-939-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7611 Pacific St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681145420",
            "country_code": "US",
            "telephone_number": "402-763-8774",
            "fax_number": "402-715-5742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NE",
            "license": "2128",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "2128",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2128",
            "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 Dec 4, 2019; 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.