Individual provider Active NPI

Tanner Lee Thomas, DPT

  • Physical Therapist
  • Plattsmouth, NE
National Provider Identifier
1841207610
Registry record updated Jun 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2485 Issued in NE
Practice address
2380 8TH Ave
Suite 8
Plattsmouth, NE 68048-2367
Phone
(402) 296-3433
Fax
(402) 296-3531
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2016

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 2485 NE Primary

Addresses

Primary practice location

2380 8TH Ave
Suite 8
Plattsmouth, NE 68048-2367

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 2

IdentifierTypeStateIssuer
P00378278OtherRR MEDICARE
39849OtherBCBS NE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000219 NE Practitioner - Physical Therapist in Private Practice 7214934421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve PCGroup PAC ID 6406881127, 5 clinicians

Practice addresses (Care Compare)

11511 S 42ND St
Suite 106
Bellevue, NE 68123-1089
Phone (402) 502-4678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab LLC Physical Therapist CurrentSince Jul 12, 2006 Accepting new patients
Community Rehab, Inc. Physical Therapist CurrentSince Jul 12, 2006 Accepting new patients
Achieve PC Physical Therapist CurrentSince Nov 5, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

1103 Galvin Rd S
Ste A
Bellevue, NE 68005
Phone (402) 408-0890

11511 S 42nd St
Ste 106
Bellevue, NE 68123
Phone (402) 502-4678

1408 Veterans Dr
Ste 102
Elkhorn, NE 68022
Phone (402) 289-3288

410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908

4110 S 144th St
Omaha, NE 68137
Phone (402) 861-6683

2027 Dodge St
Omaha, NE 68102
Phone (402) 884-8775

10700 Sapp Brothers Dr
Omaha, NE 68138
Phone (402) 210-1472

6103 N 72nd St
Omaha, NE 68134
Phone (402) 408-0931

119 N 51st St
Ste 101
Omaha, NE 68132
Phone (402) 506-5695

2380 8th Ave
Ste 8
Plattsmouth, NE 68048
Phone (402) 296-3433

2380 8th Ave
Ste 9
Plattsmouth, NE 68048
Phone (402) 296-3433

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466812800000",
    "number": "1841207610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 8TH AVE",
            "address_2": "SUITE 8",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482367",
            "telephone_number": "402-296-3433",
            "fax_number": "402-296-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TANNER",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00378278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "39849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2016; 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.