Active NPI
Anthony J Hentzen, PT
- Physical Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3280
- Practice address
- 1021 S 178TH St
Suite 101
Omaha, NE 68118-3574 - Phone
- (402) 933-3036
- Fax
- (402) 933-3163
- NPI assigned
- Aug 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3280 | NE | Primary |
Addresses
Primary practice location
1021 S 178TH St
Suite 101
Omaha, NE 68118-3574
Mailing address
607 Dewey Nwave 300
Grand Rapids, MI 49504-7335
Phone (913) 904-1128
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
- University of Nebraska College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 Bradford St
Suite B
Seward, NE 68434-1709
Phone (402) 646-2007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3280 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska City Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Havelock Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Makovicka Harms Group, PC | Physical Therapist | Past | Accepting new patients |
| Pacific Springs Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
6319 Havelock Ave
Lincoln, NE 68507
Phone (402) 325-0044
3818 Normal Blvd
Lincoln, NE 68506
Phone (402) 488-4282
1104 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 873-7411
510 Bradford St
Ste B
Seward, NE 68434
Phone (402) 646-2007
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Nebraska City, NE
- NPI 1437453164
Physical Therapist
-
- Physical Therapy Clinic/Center
- Lincoln, NE
- NPI 1952638355
Physical Therapist
-
- Physical Therapist
- Papillion, NE
- NPI 1093077000
-
- Orthopedic Physical Therapist
- Omaha, NE
- NPI 1417968645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1497188643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 DEWEY NWAVE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495047335",
"telephone_number": "913-904-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 S 178TH ST",
"address_2": "SUITE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681183574",
"telephone_number": "402-933-3036",
"fax_number": "402-933-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTZEN",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3280",
"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 Aug 4, 2015; 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.