Active NPI
Dexter P Mateo, P.T.
- Physical Therapist
- Omaha, NE
National Provider Identifier
1649688334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1811 Mayfield Ave
Omaha, NE 68104-4651 - Phone
- (724) 557-2563
- NPI assigned
- Jul 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1811 Mayfield Ave
Omaha, NE 68104-4651
Mailing address
1811 Mayfield Ave
Omaha, NE 68104-4651
Phone (724) 557-2563
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1649688334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 MAYFIELD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044651",
"telephone_number": "724-557-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 MAYFIELD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044651",
"telephone_number": "724-557-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO",
"first_name": "DEXTER",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-26",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.