Active Spine Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE SPINE PHYSICAL THERAPY, LLC

Doing business as

Active Therapy

Practice address

11810 Nicholas St Ste 103
Omaha, NE 68154-4453

Phone

(402) 932-2888

Fax

(402) 932-2899

NPI assigned

Feb 22, 2012

Last updated

Jul 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Christopher Muchowicz, PTNPI 1568444784

Title

Owner

Phone

(402) 932-2888

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Active Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Christopher Muchowicz, MPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1568444784
  Medicare reassignment Care Compare group NPD Authorized official
• Erik James Gapp, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1770003741
  Medicare reassignment Care Compare group NPD
• Jay D Herman, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1659495844
  Medicare reassignment Care Compare group NPD
• Dixie L. Carr-Heyn, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1780693440
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1508139494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544453",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544453",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Wakeley Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143677",
            "country_code": "US",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE SPINE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "MUCHOWICZ",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-932-2888",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107512",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026165702",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Active Hearing Health
• Active Motion Chiropractic P.C.
• Active Solutions Chiropractic, P.C.
• Active Spine and Joint Chiropractic LLC (Harvest Chiropractic & Wellness)
• Active Spine Physical Therapy, LLC (Active Physical Therapy)
• Diana Acuna
• Adjo Sara Stella Ada
• Henrique Adabo, MD
• Shelby Adair, PTA
• Summer Adair

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.