Individual provider Active NPI

Christopher Matthew Stull, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1891211546
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3746 Issued in NE
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

Updated by the provider on Aug 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180104001653 NE Practitioner - Physical Therapist in Private Practice 3870852486 Reassigns benefits to 1 organization

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
Makovicka Harms Group PCGroup PAC ID 0143374124, 48 clinicians

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 100Reported as group
Quality
0
Improvement activities
40
Cost
59.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3746NEMDClinical Social Worker
088968IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Physical Therapist CurrentSince Sep 24, 2018 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.

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.

Verify at the official NPI Registry.