NPIMap

Individual provider Active NPI

Joel Patrick Makovicka, DPT

  • Physical Therapist
  • Wahoo, NE
National Provider Identifier
1811158355
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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 2665 NE Primary

Addresses

Primary practice location

559 W 15TH St
Wahoo, NE 68066-1280

Mailing address

PO Box 427
Wahoo, NE 68066-0427
Phone (402) 443-4555

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
2665NEMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

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": "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": []
}

Other providers in Wahoo, NE

Sources for this page

  • 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.