Active NPI
Robert Chab
- Physical Therapist
- Elkhorn, NE
National Provider Identifier
1740854124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4602
- Practice address
- 19111 Mason PLZ
Elkhorn, NE 68022-5659 - Phone
- (402) 504-9797
- NPI assigned
- May 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapist | 225100000X | 4602 | NE | Primary |
Addresses
Primary practice location
19111 Mason PLZ
Elkhorn, NE 68022-5659
Mailing address
19111 Mason PLZ
Elkhorn, NE 68022-5659
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 |
|---|---|---|---|
| 4602 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709424000000",
"number": "1740854124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19111 MASON PLZ",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19111 MASON PLZ",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225659",
"telephone_number": "402-504-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAB",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2024-03-03",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.