Active NPI
Kelly McCann
- Physical Therapist
- Omaha, NE
National Provider Identifier
1376501445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1639
- Practice address
- 13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124 - Phone
- (402) 330-3211
- Fax
- (402) 330-5970
- NPI assigned
- May 1, 2006
- Sex
- Female
- 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 | 1639 | NE | Primary |
Addresses
Primary practice location
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Mailing address
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone (402) 330-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4706547701 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1639 | NE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthowest LLC | Physical Therapist | Current | Accepting new patients |
| Orthowest LLC | Current | Accepting new patients | |
| Procare3, Inc. | Past | Accepting new patients | |
| Makovicka Harms Group PC | Physical Therapist | Past | Accepting new patients |
Locations
3415 S 205th St
Elkhorn, NE 68022
Phone (402) 609-1750
2725 S 144th St
Ste 212
Omaha, NE 68144
Phone (402) 354-4000
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.
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1073323606
-
- Physical Therapist
- Omaha, NE
- NPI 1386879559
-
- Rehabilitation Practitioner
- Omaha, NE
- NPI 1942266945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376501445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13336 INDUSTRIAL RD",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371124",
"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": "13336 INDUSTRIAL RD",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371124",
"telephone_number": "402-330-3211",
"fax_number": "402-330-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4706547701",
"state": "NE"
}
],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.