Active NPI
Jonathan James Boyer, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1720657315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-7379
- 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, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4222 | NE | MD | Mental Health Counselor |
| PT-7379 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Therapy Associates, PC | Physical Therapist | Current | Accepting new patients |
| Premier Therapy Associates, PC | Past | 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.
-
- Physical Therapist
- Omaha, NE
- NPI 1275566481
-
- Physical Therapy Clinic/Center
- Omaha, NE
- NPI 1437225000
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.