Ryan McCabe, PT
Individual provider Active NPI Physical Therapist · Omaha, NE
NPI 1477581890 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477581890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2017 (NE)
- Practice address
- 1313 S Saddle Creek Rd
Omaha, NE 68106-2402 - Phone
- (402) 933-0100
- Fax
- (402) 933-0200
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050728000826 | NE | Practitioner - Physical Therapist in Private Practice | 3476581869 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McMy PT, Corp | Physical Therapist | Current |
Accepting new patients |
| McMy PT Corp | Physical Therapist | Current | Accepting new patients |
| Premier Therapy Associates, PC | Physical Therapist | Past |
Accepting new patients |
Locations
511 1st St
Milford, NE 68405
Phone (402) 761-4000
2835 N Nebraska Ave
York, NE 68467
Phone (402) 362-2929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2017 | NE | Yes |
Addresses
Primary practice location
1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Mailing address
1603 Le Baron Dr
Papillion, NE 68133-2807
Phone (402) 203-7345
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.