Active NPI
Christopher Matthew Stull, PT, DPT
- Physical Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3746
- Practice address
- 8031 W Center Rd Ste 300
Omaha, NE 68124-3134 - Phone
- (402) 763-4408
- NPI assigned
- Aug 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 088968 | IA | |
| Physical Therapist | 225100000X | 3746 | NE | Primary |
Addresses
Primary practice location
8031 W Center Rd Ste 300
Omaha, NE 68124-3134
Mailing address
10616 S 111TH Ave
Papillion, NE 68046-5549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
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
Practice addresses (Care Compare)
11476 S 72ND St
102 Makovicka Physical Therapy
Papillion, NE 68046-4921
Phone (402) 964-2045
4235 N 90TH St
Omaha, NE 68134-4136
Phone (402) 934-0045
Merit-based Incentive Payment System (MIPS)
- Final score
- 32.9 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 59.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3746 | NE | MD | Clinical Social Worker |
| 088968 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group PC | Physical Therapist | Current | Accepting new patients |
Locations
555 Cornhusker Rd
Ste 207
Bellevue, NE 68005
Phone (402) 614-4300
20024 Glenmore Dr
Ste 101
Gretna, NE 68028
Phone (402) 332-3773
333 S 70th St
Ste 102
Lincoln, NE 68510
Phone (531) 500-4160
7030 Helen Witt Dr
Ste A
Lincoln, NE 68512
Phone (402) 420-4545
2436 N 48th St
Ste 101
Lincoln, NE 68504
Phone (402) 325-6341
6307 Center St
Ste 105
Omaha, NE 68106
Phone (402) 884-7453
4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045
3830 N 167th Ct
Ste 102
Omaha, NE 68116
Phone (402) 502-2290
1021 S 178th St
Ste 101
Omaha, NE 68118
Phone (402) 256-5856
6909 S 157th St
Ste E
Omaha, NE 68136
Phone (402) 933-5448
11901 Pacific St
Ste 2
Omaha, NE 68154
Phone (402) 401-6151
8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745
11476 S 72nd St
Ste 102
Papillion, NE 68046
Phone (402) 964-2045
16385 Westside Dr
Ste 1
Plattsmouth, NE 68048
Phone (402) 870-4521
559 W 15th St
Wahoo, NE 68066
Phone (402) 420-4545
13851 Guildford St
Waverly, NE 68462
Phone (402) 786-0476
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 and National Provider Directory roles.
-
- Physical Therapist
- Omaha, NE
- NPI 1386879559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1891211546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10616 S 111TH AVE",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680465549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8031 W CENTER RD STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243134",
"telephone_number": "402-763-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "CHRISTOPHER",
"middle_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "088968",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3746",
"primary": true
}
],
"identifiers": [],
"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 Aug 28, 2017; 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.