Healthcare Provider Details

I. General information

NPI: 1962348615
Provider Name (Legal Business Name): JOSIAH SWITZER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13306 A ST STE C
OMAHA NE
68144-3660
US

IV. Provider business mailing address

16123 HICKORY ST
OMAHA NE
68130-1426
US

V. Phone/Fax

Practice location:
  • Phone: 402-614-4622
  • Fax:
Mailing address:
  • Phone: 402-340-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1313
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: