Active NPI
Cole Thomas Rhoades, PTA
- Physical Therapy Assistant
- Omaha, NE
National Provider Identifier
1811267628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1074
- Practice address
- 10730 Pacific St Ste 210
Omaha, NE 68114-4761 - Phone
- (402) 753-7230
- NPI assigned
- Jan 10, 2012
- 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 Therapy Assistant | 225200000X | 1074 | NE | Primary |
Addresses
Primary practice location
10730 Pacific St Ste 210
Omaha, NE 68114-4761
Mailing address
2717 Cape Horn Cir
Plattsmouth, NE 68048-7158
Phone (402) 202-0701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1074 | Other | NE | STATE OF NEBRASKA |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlink, LLC | Past | Accepting new patients | |
| Medlink Companion, LLC | Physical Therapy Assistant | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Omaha, NE
- NPI 1942607072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1811267628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 CAPE HORN CIR",
"city": "PLATTSMOUTH",
"state": "NE",
"postal_code": "680487158",
"telephone_number": "402-202-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 PACIFIC ST STE 210",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144761",
"telephone_number": "402-753-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "COLE",
"middle_name": "THOMAS",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "1074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEBRASKA",
"identifier": "1074",
"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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.