Active NPI
Michael Robert Witte, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1518940659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2392
- Practice address
- 470 Maxwell PLZ
Omaha, NE 68154-2997 - Phone
- (402) 235-4446
- NPI assigned
- Nov 22, 2005
- 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 | 2392 | NE | Primary |
Addresses
Primary practice location
470 Maxwell PLZ
Omaha, NE 68154-2997
Mailing address
470 Maxwell PLZ
Omaha, NE 68154-2997
Phone (402) 235-4446
Other practice location 1
8002 S 84th St
Suite #1
Lavista, NE 68128-3302
Phone (402) 331-6444
Other practice location 2
1268 E Henry St Ste 1
Louisville, NE 68037-7025
Phone (402) 234-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39594 | Other | NE | BLUE CROSS BLUE SHIELD |
| 0598961 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2392 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1518940659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 MAXWELL PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542997",
"telephone_number": "402-235-4446",
"fax_number": "971-364-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 MAXWELL PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542997",
"telephone_number": "402-235-4446"
}
],
"practiceLocations": [
{
"address_1": "8002 S 84th St",
"address_2": "Suite #1",
"address_purpose": "LOCATION",
"city": "Lavista",
"state": "NE",
"postal_code": "681283302",
"country_code": "US",
"telephone_number": "402-331-6444",
"fax_number": "402-331-9080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1268 E Henry St Ste 1",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "NE",
"postal_code": "680377025",
"country_code": "US",
"telephone_number": "402-234-3333",
"fax_number": "844-272-6479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITTE",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2022-11-03",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39594",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0598961",
"state": "IA"
}
],
"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 Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.