LANDON G BOOKER (DPT, PT) – Physical Therapist, NPI 1053761429

LANDON G BOOKER (DPT, PT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT. They hold a License No. 3570 (NE). The NPI Number for LANDON G BOOKER (DPT, PT) is 1053761429

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LANDON G BOOKER (DPT, PT)
NPI
1053761429
Phone
(402) 884-7453
Address
6307 CENTER STREET
Enumeration Date
16 June 2016
Last Update Date
14 July 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4028847483
Graduation Year
2016 (10 years ago)
PAC ID
6901199124
Group Practice PAC ID
0143374124
Professional Enrollment ID
I20160726002349
Address ID
NE681063459OM6307XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for LANDON G BOOKER (DPT, PT)

  • 6307, Center Street, Omaha, Douglas County, Nebraska, 68106, United States

    SUITE 105

    OMAHA, NE 68106

    Phone: (402) 884-7453

    Fax: (402) 884-6983

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160726002349IPhysical Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,10968$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes96665$0
97140Therapy procedure using manual technique, each 15 minutes95564$0
97016Application of blood vessel compression device18723$0
97530Therapy procedure using functional activities17821$0
View full utilization report →

Insurance plans in this area (ZIP 68106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143374124View full group profile
NameSpecialtyState
-NE
-NE
Physical Therapist In Private PracticeNE
-NE
-NE
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How do I look up LANDON G BOOKER (DPT, PT) by NPI?
Use NPI 1053761429 when you need to reference LANDON G BOOKER (DPT, PT) in forms, claims, or directories.
Does this profile mean LANDON G BOOKER (DPT, PT) is currently active?
Yes — LANDON G BOOKER (DPT, PT) appears active in the national provider directory.
Can you summarize LANDON G BOOKER (DPT, PT)'s specialty in plain language?
Clinically, the directory lists LANDON G BOOKER (DPT, PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is LANDON G BOOKER (DPT, PT)'s primary listing?
We display Omaha, Nebraska because that is what the record indicates for LANDON G BOOKER (DPT, PT).
How can I contact LANDON G BOOKER (DPT, PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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