Thomas Charles Guttermann, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1705 Issued in NE

Practice address

600 Brookstone Meadows PLZ
Elkhorn, NE 68022-4401

Phone

(402) 289-2696

NPI assigned

Nov 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542499200000",
    "number": "1922577006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 WALNUT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062123",
            "telephone_number": "402-650-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROOKSTONE MEADOWS PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224401",
            "telephone_number": "402-289-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTERMANN",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-18",
        "last_updated": "2018-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "094038",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Lynn Grundman
• Ashley Gundersen
• Julie Gurbacki, DC
• Norbu Gurung
• Rita Gurung
• Ana Paola Guzman
• Whitney Elizabeth Haase, DC
• Lay D Hae
• Jessica Marie Haenggi
• John Joseph Haenggi

• Physical Medicine & Rehabilitation Physician in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Physical Medicine & Rehabilitation Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.