Individual provider Active NPI

Erik James Gapp, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1770003741
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3723 Issued in NE
Practice address
11810 Nicholas St Ste 103
Omaha, NE 68154-4453
Phone
(402) 932-2888
Fax
(402) 932-2899
NPI assigned
Jun 21, 2017
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 3723 NE Primary

Addresses

Primary practice location

11810 Nicholas St Ste 103
Omaha, NE 68154-4453

Mailing address

11810 Nicholas St Ste 103
Omaha, NE 68154-4453
Phone (402) 932-2888

Other practice location 1

7919 Wakeley Plz
Omaha, NE 68114-3677
Phone (402) 932-2888

Other identifiers 1

IdentifierTypeStateIssuer
3723OtherNESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629002560 NE Practitioner - Physical Therapist in Private Practice 9931478252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Spine Physical Therapy, LLCGroup PAC ID 2961664271, 3 clinicians

Practice addresses (Care Compare)

11810 Nicholas St
Omaha, NE 68154-4453
Phone (402) 932-2888

7919 Wakeley PLZ
Omaha, NE 68114-3677
Phone (402) 932-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3723NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Active Spine Physical Therapy, LLC Physical Therapist CurrentSince Jun 20, 2017 Accepting new patients

Locations

11810 Nicholas St
Ste 103
Omaha, NE 68154
Phone (402) 932-2888

13220 Birch Dr
Ste 200
Omaha, NE 68164
Phone (402) 932-2888

7919 Wakeley Plz
Omaha, NE 68114
Phone (402) 393-8384

9850 Nicholas St
Ste 300
Omaha, NE 68114
Phone (402) 932-2888

Organizations & group practices 1

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1770003741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544453",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544453",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Wakeley Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143677",
            "country_code": "US",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAPP",
        "first_name": "ERIK",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3723",
            "state": "NE"
        }
    ],
    "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 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.