Nicholas Christopher Muchowicz, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2176 Issued in NE

Practice address

11810 Nicholas St Ste 103
Omaha, NE 68154-4453

Phone

(402) 932-2888

Fax

(402) 932-2899

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Spine Physical Therapy, LLCGroup PAC ID 2961664271, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Spine Physical Therapy, LLC

  dba Active Therapy

  • Physical Therapist
  • Omaha, NE
  • NPI 1508139494
  Medicare reassignment Care Compare group NPD Authorized official
• Active Spine Physical Therapy, LLC

  dba Active Physical Therapy

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1023568540
  NPD Authorized official
• Community Rehab LLC

  dba ATI Physical Thearpy

  • Physical Therapist
  • South Sioux City, NE
  • NPI 1932218773
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1568444784",
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCHOWICZ",
        "first_name": "NICHOLAS",
        "middle_name": "CHRISTOPHER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025418400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "68154A020",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02128",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "241541",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00367179",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Por Mu
• Sah Mu
• Si Mu
• Susan Jean Mucha
• Amy Noele Muchowicz, APRN-NP
• Alexandra Muckey, OT
• Jaycee Lynn Mudd, MEDICAL STUDENT
• Loriann Lynette Mudra Simet
• PA Saw Mue
• Pamela Gayle Bartley Mueggenberg, LIMHP, LPC

• 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.
• 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.

Verify at the official NPI Registry.