Organization
TOTAL REHAB, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE WEAR P.T. (OWNER)
(402) 917-2020
Entity
Organization
Contact information
Practice address
10920 W DODGE RD, OMAHA, NE 68154-2612
(402) 917-2020
(402) 571-3229
Mailing address
10920 W DODGE RD, OMAHA, NE 68154-2612
(402) 917-2020
(402) 571-3229
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09248
BLUE CROSS
NE
05
—
50766662613
—
NE
Enumeration date
10/25/2006
Last updated
08/22/2020
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