Individual provider Active NPI

Gerald E Jacobi, PT

  • Sports Physical Therapist
  • Omaha, NE
National Provider Identifier
1346249398
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
10920 W Dodge Rd
Omaha, NE 68154-2612
Phone
(402) 493-6808
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X Primary

Addresses

Primary practice location

10920 W Dodge Rd
Omaha, NE 68154-2612

Mailing address

10920 W Dodge Rd
Omaha, NE 68154-2612
Phone (402) 493-6808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050929001260 IA Practitioner - Physical Therapist in Private Practice 5597790303 Reassigns benefits to 1 organization
I20051026000909 NE Practitioner - Physical Therapist in Private Practice 5597790303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

301 W Broadway
Suite 100 Athletico Physical Therapy
Council Bluffs, IA 51503-9071
Phone (712) 322-9688

3134 Manawa Centre Dr
Council Bluffs, IA 51501-7690
Phone (712) 308-8038

3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995

9449 J St
Omaha, NE 68127-1218
Phone (402) 593-7345

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1788NEMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD CurrentSince Apr 1, 2019 Accepting new patients
Athletico LTD Sports CurrentSince Sep 1, 2021 Accepting new patients
Athletico LTD Sports CurrentSince Apr 1, 2019 Accepting new patients

Locations

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

301 W Broadway
Ste 100
Council Bluffs, IA 51503
Phone (712) 322-9688

2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

603 N Diers Ave
Ste 1
Grand Island, NE 68803
Phone (308) 389-4418

5633 S 16th St
Ste 600
Lincoln, NE 68512
Phone (402) 817-1750

2953 S 168th St
Ste 100
Omaha, NE 68130
Phone (402) 351-4500

7818 Dodge St
Omaha, NE 68114
Phone (402) 493-6808

9449 J St
Omaha, NE 68127
Phone (402) 330-8433

1226 N Washington St
Ste 1
Papillion, NE 68046
Phone (402) 593-1734

Organizations & group practices 3

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346249398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542612",
            "telephone_number": "402-493-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542612",
            "telephone_number": "402-493-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "GERALD",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "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 Jul 13, 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.