Joel Patrick Makovicka, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2665 Issued in NE

Practice address

559 W 15TH St
Wahoo, NE 68066-1280

Phone

(402) 443-4555

Fax

(402) 443-4554

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

No

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

• Makovicka Harms Group, PC

  • Physical Therapist
  • Papillion, NE
  • NPI 1093077000

  Physical Therapist

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2014.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1811158355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680660427",
            "telephone_number": "402-443-4555",
            "fax_number": "402-443-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-443-4555",
            "fax_number": "402-443-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOVICKA",
        "first_name": "JOEL",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Lindgren
• Jana L Lindstrom
• Michelle Lynn Maass, MS CCC-SLP
• Wendy Mach
• Makovicka Sylliaasen PC
• Amanda R. Malina, APRN
• Hannah Isabelle Maschka, PMHP
• Leo L Meduna, MD
• Holly Marie Meiergerd, PT, PCS
• Alissa Claire Meyer, PT, DPT

• All providers in Wahoo, NE
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.