JORDAN J MAKOVICKA (PT) – Physical Therapist, NPI 1154771269

JORDAN J MAKOVICKA (PT) is a healthcare provider. based in Omaha, Nebraska. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 3583 (NE). The NPI Number for JORDAN J MAKOVICKA (PT) is 1154771269

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN J MAKOVICKA (PT)
NPI
1154771269
Phone
(402) 502-2290
Address
3830 N 167TH CT
Enumeration Date
20 June 2016
Last Update Date
20 June 2016

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4025022290
Graduation Year
2016 (10 years ago)
PAC ID
4183917057
Group Practice PAC ID
0143374124
Professional Enrollment ID
I20160729001568
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

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Provider Addresses for JORDAN J MAKOVICKA (PT)

  • 3830 N 167TH CT

    OMAHA, NE 681168067

    Phone: (402) 502-2290

    Fax: (402) 505-3922

    Type: Mailing

  • 10831, Old Mill Road, Omaha, Douglas County, Nebraska, 68154, United States

    300

    OMAHA, NE 681542640

    Phone: (402) 502-2290

    Fax: (402) 505-3922

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68116)

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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
Physical Therapist In Private PracticeNE
-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

Does JORDAN J MAKOVICKA (PT) have a public NPI I can cite?
Public records show JORDAN J MAKOVICKA (PT) under NPI 1154771269.
Should I treat JORDAN J MAKOVICKA (PT) as an active provider?
Patients and plans typically see JORDAN J MAKOVICKA (PT) as active in the national extract.
What does the directory say JORDAN J MAKOVICKA (PT) does?
Insurance directories may phrase it differently, but here JORDAN J MAKOVICKA (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JORDAN J MAKOVICKA (PT)?
JORDAN J MAKOVICKA (PT) is associated with Omaha, Nebraska in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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