Organization Active NPI

Physical Therapy Works Inc

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1417260449
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY WORKS INC
Practice address
3407 S 84TH St
Omaha, NE 68124-3325
Phone
(402) 614-8042
Fax
(402) 614-8043
NPI assigned
Jul 19, 2010
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Donald P Ostdiek, DPTNPI 1740262963
Title
PT/Owner
Phone
(402) 614-8042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3407 S 84TH St
Omaha, NE 68124-3325

Mailing address

3407 S 84TH St
Omaha, NE 68124-3325
Phone (402) 614-8042

Other identifiers 1

IdentifierTypeStateIssuer
10025878400MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000582 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698964351 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

10807 Elm St
Omaha, NE 68144
Phone (402) 614-8042

3407 S 84th St
Omaha, NE 68124
Phone (402) 614-8042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1417260449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243325",
            "telephone_number": "402-614-8042",
            "fax_number": "402-614-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243325",
            "telephone_number": "402-614-8042",
            "fax_number": "402-614-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY WORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "OSTDIEK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "402-614-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025878400",
            "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 Jan 21, 2011; 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.

Verify at the official NPI Registry.