Individual provider Active NPI

Angelo Tablante

  • Physical Therapist
  • Papillion, NE
National Provider Identifier
1902863913
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2425 Issued in NE
Practice address
8419 S 73Rd PLZ Ste 104
Papillion, NE 68046-1507
Phone
(402) 991-2745
Fax
(402) 991-2748
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 2425 NE Primary

Addresses

Primary practice location

8419 S 73Rd PLZ Ste 104
Papillion, NE 68046-1507

Mailing address

PO Box 34669
Omaha, NE 68134-0669
Phone (029) 326-7914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000040 NE Practitioner - Physical Therapist in Private Practice 2365450566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
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)

8419 S 73Rd PLZ
Suite 104
Papillion, NE 68046-1507
Phone (402) 991-2745

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
Makovicka Harms Group PC Physical Therapist CurrentSince Aug 6, 2022 Accepting new patients
Makovicka Sylliaasen PC Physical Therapist PastSince Jan 6, 2010 Accepting new patients
Makovicka Harms Group, PC Physical Therapist PastSince Aug 6, 2022 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

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

2436 N 48th St
Ste 101
Lincoln, NE 68504
Phone (402) 325-6341

7030 Helen Witt Dr
Ste A
Lincoln, NE 68512
Phone (402) 420-4545

13336 Industrial Rd
Ste 105
Omaha, NE 68137
Phone (402) 330-3211

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

11909 Miracle Hills Dr
Omaha, NE 68154
Phone (402) 201-2216

1021 S 178th St
Ste 101
Omaha, NE 68118
Phone (402) 256-5856

4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045

6307 Center St
Ste 105
Omaha, NE 68106
Phone (402) 884-7453

470 Maxwell Plz
Omaha, NE 68154
Phone (402) 235-4446

3830 N 167th Ct
Ste 102
Omaha, NE 68116
Phone (402) 502-2290

11476 S 72nd St
Ste 102
Papillion, NE 68046
Phone (402) 964-2045

8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745

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 6

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1902863913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34669",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340669",
            "telephone_number": "029-326-7914",
            "fax_number": "402-614-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 S 73RD PLZ STE 104",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461507",
            "telephone_number": "402-991-2745",
            "fax_number": "402-991-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLANTE",
        "first_name": "ANGELO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.