Individual provider Active NPI

James S Dobesh, PTA

  • Physical Therapy Assistant
  • Milford, NE
National Provider Identifier
1558853804
Registry record updated Jun 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
326 Issued in NE
Practice address
1100 1St St
Milford, NE 68405-9708
Phone
(402) 761-2261
NPI assigned
Jun 2, 2018
Last updated
Jun 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 326 NE Primary

Addresses

Primary practice location

1100 1St St
Milford, NE 68405-9708

Mailing address

1844 N 1St St
Seward, NE 68434-1094
Phone (402) 643-4248

Other identifiers 1

IdentifierTypeStateIssuer
326MedicaidNE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
326NEMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527897600000",
    "number": "1558853804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 N 1ST ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684341094",
            "telephone_number": "402-643-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 1ST ST",
            "city": "MILFORD",
            "state": "NE",
            "postal_code": "684059708",
            "telephone_number": "402-761-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBESH",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.