Individual provider Active NPI

Ryan McCabe, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1477581890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2017 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2017 NE Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000826 NE Practitioner - Physical Therapist in Private Practice 3476581869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McMy PT Corp Physical Therapist Current Accepting new patients
McMy PT, Corp Physical Therapist CurrentSince Jan 22, 2010 Accepting new patients
Premier Therapy Associates, PC Physical Therapist PastSince May 17, 2017 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

Organizations & group practices 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477581890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 LE BARON DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332807",
            "telephone_number": "402-203-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100",
            "fax_number": "402-933-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2017",
            "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 Jul 8, 2007; 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.