Jeff S. Booher, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1976 Issued in NE

Practice address

5900 S 85TH St
Suite 101
Lincoln, NE 68526-9231

Phone

(402) 423-7325

Fax

(402) 423-7328

NPI assigned

Mar 26, 2006

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Physical Therapy and Sports Performance, LLC

  • Physical Therapy Clinic/Center
  • Lincoln, NE
  • NPI 1780996033
  Medicare reassignment Authorized official
• Proformance Physical Therapy and Sports Rehab, P.C.

  • Physical Therapist
  • Lincoln, NE
  • NPI 1225082480
  NPD (past)

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1427018175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S 98TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685209450",
            "telephone_number": "402-304-4835",
            "fax_number": "402-423-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S 85TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269231",
            "telephone_number": "402-423-7325",
            "fax_number": "402-423-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "JEFF",
        "middle_name": "S.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-26",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candi Bonsal
• Frank Kwabena Bonsu
• John S Bonta, MD
• Sam Bontrager
• Austin Booher
• Alexa Booker
• Curt Booker
• Diane Booker
• Teresa Bool
• Shannon Boone, O.D.

• Physical Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.