Individual provider Active NPI

Marc Hunley, RPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1619972676
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2841 Issued in NE
Practice address
625 N 144TH Ave Ste 102
Omaha, NE 68154-1935
Phone
(402) 934-8688
Fax
(402) 934-8689
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2841 NE Primary

Addresses

Primary practice location

625 N 144TH Ave Ste 102
Omaha, NE 68154-1935

Mailing address

625 N 144TH Ave Ste 102
Omaha, NE 68154-1935
Phone (402) 934-8688

Other identifiers 1

IdentifierTypeStateIssuer
099979004OtherNEMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000485 NE Practitioner - Physical Therapist in Private Practice 6305829045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omaha Physical Therapy Institute, PCGroup PAC ID 3072613421, 8 clinicians

Practice addresses (Care Compare)

625 N 144TH Ave
Suite 102
Omaha, NE 68154-1935
Phone (402) 934-8688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03369KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Physical Therapy Institute, PC Physical Therapist CurrentSince Nov 30, 2015 Accepting new patients

Locations

625 N 144th Ave
Ste 102
Omaha, NE 68154
Phone (402) 934-8688

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1619972676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N 144TH AVE STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541935",
            "telephone_number": "402-934-8688",
            "fax_number": "402-934-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N 144TH AVE STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541935",
            "telephone_number": "402-934-8688",
            "fax_number": "402-934-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNLEY",
        "first_name": "MARC",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "099979004",
            "state": "NE"
        }
    ],
    "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 4, 2016; 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.