Individual provider Active NPI

Jonathan James Boyer, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1720657315
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7379 Issued in ID
Practice address
1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone
(402) 933-0100
Fax
(402) 933-0200
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 PT-7379 ID Primary

Addresses

Primary practice location

1313 S Saddle Creek Rd
Omaha, NE 68106-2402

Mailing address

7517 Leawood St
Papillion, NE 68046-4254
Phone (907) 982-5624

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL admin@mypremiertherapy.com Premier Therapy Associates, PC
Other URL admin@mypremiertherapy.com Premier Therapy Associates, PC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4222NEMDMental Health Counselor
PT-7379IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy Associates, PC Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients
Premier Therapy Associates, PC PastSince Jun 22, 2021 Accepting new patients

Locations

1313 S Saddle Creek Rd
Omaha, NE 68106
Phone (402) 933-0100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1720657315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 LEAWOOD ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464254",
            "telephone_number": "907-982-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100",
            "fax_number": "402-933-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@mypremiertherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Administration email for Premier Physical Therapy",
            "affiliationName": "Premier Therapy Associates, PC",
            "address_1": "1313 S Saddle Creek Rd",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681062402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@mypremiertherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Administration email for Premier Therapy Associates, PC",
            "affiliationName": "Premier Therapy Associates, PC",
            "address_1": "1313 S Saddle Creek Rd",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681062402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.