Individual provider Active NPI

Michael David Rosenthal, PT, ATC

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1427029370
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4178 Issued in NE
Practice address
1408 Veterans Dr Ste 102
Elkhorn, NE 68022-6912
Phone
(402) 289-3288
NPI assigned
Jan 30, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250221000378 NE Practitioner - Physical Therapist in Private Practice 4789104738 Reassigns benefits to 1 organization

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
Community Rehab, LLCGroup PAC ID 3173428562, 14 clinicians

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

LicenseStateTypeSpecialty
4621VAMDSpecialist
4178NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab LLC Physical Therapist CurrentSince Feb 3, 2025 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.

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.

Verify at the official NPI Registry.