Active NPI
Elliot Tapprich, PT, DPT, CSCS
- Physical Therapist
- Omaha, NE
National Provider Identifier
1407101520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60977962
- Practice address
- 2403 S 133Rd PLZ
Omaha, NE 68144-5905 - Phone
- (402) 330-8433
- Fax
- (402) 330-8616
- NPI assigned
- Jul 15, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004986 | IA | |
| Physical Therapist | 225100000X | PT60977962 | WA | Primary |
| Physical Therapist | 225100000X | 3100 | NE |
Addresses
Primary practice location
2403 S 133Rd PLZ
Omaha, NE 68144-5905
Mailing address
2218 S 161St Cir
Omaha, NE 68130-1725
Phone (402) 304-0595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60977962 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1407101520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 S 161ST CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681301725",
"telephone_number": "402-304-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 S 133RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445905",
"telephone_number": "402-330-8433",
"fax_number": "402-330-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPPRICH",
"first_name": "ELLIOT",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-15",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004986",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60977962",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3100",
"primary": false
}
],
"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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.