Individual provider Active NPI

Jedd D Lehman, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1467717074
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3092 Issued in NE
Practice address
4235 N 90TH St
Omaha, NE 68134-4136
Phone
(402) 934-0045
NPI assigned
Jul 10, 2012
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3092 NE Primary

Addresses

Primary practice location

4235 N 90TH St
Omaha, NE 68134-4136

Mailing address

4235 N 90TH St
Omaha, NE 68134-4136
Phone (402) 934-0045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000828 NE Practitioner - Physical Therapist in Private Practice 6002064516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians
MD West One PCGroup PAC ID 0446228852, 89 clinicians

Practice addresses (Care Compare)

1021 S 178TH St
101 Makovicka Physical Therapy
Omaha, NE 68118-3574
Phone (402) 933-3036

222 N 192ND St
Elkhorn, NE 68022-2811
Phone (402) 390-4111

Merit-based Incentive Payment System (MIPS)

Final score
32.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
59.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3092NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nannen Physical Therapy and Personal Training Physical Therapist PastSince Feb 1, 1999 Accepting new patients
Makovicka Sylliaasen PC Physical Therapist PastSince Jan 6, 2010 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients
Pacific Springs Physical Therapy, PC Physical Therapist PastSince May 6, 2024 Accepting new patients

Organizations & group practices 6

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1467717074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344136",
            "telephone_number": "402-934-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344136",
            "telephone_number": "402-934-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "JEDD",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3092",
            "primary": true
        }
    ],
    "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 Feb 17, 2020; 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.