Provider Demographics
NPI:1780625475
Name:SEVCIK, JAMES J (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:SEVCIK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11704 W CENTER RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4375
Mailing Address - Country:US
Mailing Address - Phone:402-691-0400
Mailing Address - Fax:402-691-1580
Practice Address - Street 1:11704 W CENTER RD
Practice Address - Street 2:STE. 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4375
Practice Address - Country:US
Practice Address - Phone:402-691-0400
Practice Address - Fax:402-691-1580
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist