Individual provider Active NPI

Michael J Spicka, DPT

  • Physical Therapist
  • Wahoo, NE
National Provider Identifier
1356638696
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3021 Issued in NE
Practice address
559 W 15TH St
Wahoo, NE 68066-1280
Phone
(402) 443-4555
Fax
(402) 443-4554
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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 3021 NE Primary

Addresses

Primary practice location

559 W 15TH St
Wahoo, NE 68066-1280

Mailing address

PO Box 427
Wahoo, NE 68066-0427
Phone (402) 443-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000568 NE Practitioner - Physical Therapist in Private Practice 1153593397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians

Practice addresses (Care Compare)

6307 Ctr St
Suite 105
Omaha, NE 68106-3459
Phone (402) 884-7483

Merit-based Incentive Payment System (MIPS)

Final score
32.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
59.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3021NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

Locations

555 Cornhusker Rd
Ste 207
Bellevue, NE 68005
Phone (402) 614-4300

20024 Glenmore Dr
Ste 101
Gretna, NE 68028
Phone (402) 332-3773

2436 N 48th St
Ste 101
Lincoln, NE 68504
Phone (402) 325-6341

333 S 70th St
Ste 102
Lincoln, NE 68510
Phone (531) 500-4160

7030 Helen Witt Dr
Ste A
Lincoln, NE 68512
Phone (402) 420-4545

6909 S 157th St
Ste E
Omaha, NE 68136
Phone (402) 933-5448

6307 Center St
Ste 105
Omaha, NE 68106
Phone (402) 884-7453

11901 Pacific St
Ste 2
Omaha, NE 68154
Phone (402) 401-6151

1021 S 178th St
Ste 101
Omaha, NE 68118
Phone (402) 256-5856

3830 N 167th Ct
Ste 102
Omaha, NE 68116
Phone (402) 502-2290

4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045

11476 S 72nd St
Ste 102
Papillion, NE 68046
Phone (402) 964-2045

8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745

16385 Westside Dr
Ste 1
Plattsmouth, NE 68048
Phone (402) 870-4521

559 W 15th St
Wahoo, NE 68066
Phone (402) 420-4545

13851 Guildford St
Waverly, NE 68462
Phone (402) 786-0476

Organizations & group practices 2

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1356638696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680660427",
            "telephone_number": "402-443-4555",
            "fax_number": "402-443-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-443-4555",
            "fax_number": "402-443-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.