Active NPI
Michael J Spicka, DPT
- Physical Therapist
- Wahoo, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 59.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3021 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Omaha, NE
- NPI 1386879559
-
- Physical Therapist
- Papillion, NE
- NPI 1093077000
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.