Individual provider Active NPI

Rebecca Hogan, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1346968427
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4389 Issued in NE
Practice address
4614 S 132ND St
Omaha, NE 68137-1764
Phone
(402) 330-3211
Fax
(402) 330-5970
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4389 NE Primary

Addresses

Primary practice location

4614 S 132ND St
Omaha, NE 68137-1764

Mailing address

4614 S 132ND St
Omaha, NE 68137-1764
Phone (402) 330-3211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826002608 NE Practitioner - Physical Therapist in Private Practice 2769866631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare 3 Inc 31 clinicians

Practice addresses (Care Compare)

4614 S 132ND St
Fyzical Therapy
Omaha, NE 68137-1764
Phone (402) 330-3211

Merit-based Incentive Payment System (MIPS)

Final score
61.16 of 100Reported as group
Quality
62.36
Improvement activities
40
Cost
39.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4389NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare3, Inc. CurrentSince Aug 16, 2022 Accepting new patients

Locations

4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

4602 S 132nd St
Omaha, NE 68137
Phone (402) 763-1888

545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333

Organizations & group practices 1

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1346968427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371764",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371764",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "REBECCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4389",
            "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 Aug 16, 2022; 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.