Individual provider Active NPI

Barry Ehlers, PT, DPT

  • Physical Therapist
  • Council Bluffs, IA
National Provider Identifier
1982274031
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4236 Issued in NE
Practice address
3134 Manawa Centre Dr
Council Bluffs, IA 51501-7690
Phone
(712) 308-8038
Fax
(712) 524-1055
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 CP025864T IA
Physical Therapist 225100000X 4236 NE Primary

Addresses

Primary practice location

3134 Manawa Centre Dr
Council Bluffs, IA 51501-7690

Mailing address

1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone (402) 933-0100

Other practice location 1

1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone (402) 933-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116000422 IA Practitioner - Physical Therapist in Private Practice 0749682979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

3134 Manawa Centre Dr
Council Bluffs, IA 51501-7690
Phone (712) 308-8038

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Premier Therapy Associates, PC Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Pacific Springs Physical Therapy, PC Physical Therapist PastSince Jun 28, 2021 Accepting new patients

Locations

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

3134 Manawa Centre Dr
Council Bluffs, IA 51501
Phone (712) 308-8038

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1313 S Saddle Creek Rd
Omaha, NE 68106
Phone (402) 933-0100

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1982274031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 MANAWA CENTRE DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017690",
            "telephone_number": "712-308-8038",
            "fax_number": "712-524-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 S Saddle Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062402",
            "country_code": "US",
            "telephone_number": "402-933-0100",
            "fax_number": "402-933-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "BARRY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP025864T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.