Active NPI
Gerard Thomas III
- Physical Therapist
- Omaha, NE
National Provider Identifier
1669035150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18601
- Practice address
- Triage LLC
12020 Pacific Street
Omaha, NE 68154 - Phone
- (800) 259-9897
- NPI assigned
- Apr 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6636 | MS | |
| Physical Therapist | 225100000X | 18601 | NC | Primary |
Addresses
Primary practice location
Triage LLC
12020 Pacific Street
Omaha, NE 68154
Mailing address
Triage LLC
12020 Pacific Street
Omaha, NE 68154
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT6636 | MS | MD | Physical Therapist |
| 18601 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1669035150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TRIAGE LLC",
"address_2": "12020 PACIFIC STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "68154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRIAGE LLC",
"address_2": "12020 PACIFIC STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "68154",
"telephone_number": "800-259-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GERARD",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6636",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18601",
"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, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.