Individual provider Active NPI

Derek Learch, DPT

  • Physical Therapist
  • La Vista, NE
National Provider Identifier
1942736350
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3687 Issued in NE
Practice address
8002 S 84TH St
La Vista, NE 68128-3307
Phone
(402) 331-6444
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 3687 NE Primary

Addresses

Primary practice location

8002 S 84TH St
La Vista, NE 68128-3307

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (855) 692-8478

Other identifiers 1

IdentifierTypeStateIssuer
47065477701MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519000839 NE Practitioner - Physical Therapist in Private Practice 2264709435 Reassigns benefits to 2 organizations

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
Community Rehab, LLCGroup PAC ID 3173428562, 14 clinicians

Practice addresses (Care Compare)

8002 S 84TH St
1 Ati Physical Therapy
La Vista, NE 68128-3307
Phone (402) 331-6444

Merit-based Incentive Payment System (MIPS)

Final score
82.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
40.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3687NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C.O.R.E. Physical Therapy and Sports Performance PC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
Community Rehab LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Makovicka Harms Group PC Physical Therapist PastSince May 4, 2017 Accepting new patients
Physiotherapy Associates Inc PastSince Mar 24, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

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

17660 Wright St
Ste 910
Omaha, NE 68130
Phone (402) 933-4027

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

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

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

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

2601 Cornhusker Dr
Ste 11
South Sioux City, NE 68776
Phone (402) 370-9651

Organizations & group practices 4

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1942736350",
    "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": "855-692-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283307",
            "telephone_number": "402-331-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARCH",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.