Active NPI
Michael David Rosenthal, PT, ATC
- Physical Therapist
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4178
- Practice address
- 1408 Veterans Dr Ste 102
Elkhorn, NE 68022-6912 - Phone
- (402) 289-3288
- NPI assigned
- Jan 30, 2006
- Last updated
- Jan 29, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4621 | VA | |
| Physical Therapist | 225100000X | 4178 | NE | Primary |
Addresses
Primary practice location
1408 Veterans Dr Ste 102
Elkhorn, NE 68022-6912
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
2446 Trident Way
San Diego, CA 92155-5494
Phone (619) 437-0777
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1103 Galvin Rd S Areaa
Ati Physical Therapy
Bellevue, NE 68005-3004
Phone (402) 408-0890
119 N 51St St
101 Ati Physical Therapy
Omaha, NE 68132-2867
Phone (402) 506-5695
6103 N 72ND St
Ati Physical Therapy
Omaha, NE 68134-2103
Phone (402) 408-0931
8002 S 84TH St
1 Ati Physical Therapy
La Vista, NE 68128-3307
Phone (402) 331-6444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4621 | VA | MD | Specialist |
| 4178 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Naval Medical Center San Diego | Past | Accepting new patients |
Locations
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
1408 Veterans Dr
Ste 102
Elkhorn, NE 68022
Phone (402) 289-3288
410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908
119 N 51st St
Ste 101
Omaha, NE 68132
Phone (402) 506-5695
6103 N 72nd St
Omaha, NE 68134
Phone (402) 408-0931
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- San Diego, CA
- NPI 1417197591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1427029370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 VETERANS DR STE 102",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680226912",
"telephone_number": "402-289-3288"
}
],
"practiceLocations": [
{
"address_1": "2446 Trident Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921555494",
"country_code": "US",
"telephone_number": "619-437-0777",
"fax_number": "619-437-5248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "4621",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.