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NPI 1184678963

NPI 1184678963 : TOTAL REHAB PC : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1184678963
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOTAL REHAB PC 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    12425 N 96TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68122-2033
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    Country              |    US
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    Telephone            |    402-917-2020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12425 N 96TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68122-2033
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JOHN H WEAR 
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    Credential           |    PT
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    Telephone            |    402-917-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    1156
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    1156
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1156
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    License Number State |    NE
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    02875
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    License Number State |    IA
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Taxonomy #5
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    Taxonomy Code        |    2251E1200X
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    Taxonomy Name        |    Ergonomics Physical Therapist
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    License Number       |    02875
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    License Number State |    IA
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Taxonomy #6
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    02875
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    License Number State |    IA
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Taxonomy #7
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    02875
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    License Number State |    IA
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Taxonomy #8
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1156
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    License Number State |    NE
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Taxonomy #9
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    Taxonomy Code        |    2251E1200X
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    Taxonomy Name        |    Ergonomics Physical Therapist
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    License Number       |    1156
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    License Number State |    NE
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Taxonomy #10
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    02875
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    License Number State |    IA
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