Active NPI
Thomas Bogers
- Physical Therapist
- Omaha, NE
National Provider Identifier
1669062808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2029
- Practice address
- 2305 S 10TH St
Omaha, NE 68108-1108 - Phone
- (402) 345-5683
- NPI assigned
- Jan 21, 2021
- 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 | 2029 | Primary |
Addresses
Primary practice location
2305 S 10TH St
Omaha, NE 68108-1108
Mailing address
22615 Melia Rd
Gretna, NE 68028-6404
Phone (402) 804-0649
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": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1669062808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22615 MELIA RD",
"city": "GRETNA",
"state": "NE",
"postal_code": "680286404",
"telephone_number": "402-804-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 S 10TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081108",
"telephone_number": "402-345-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGERS",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-21",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "2029",
"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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.