Provider Demographics
NPI:1538112834
Name:WEAR, JOHN H (PT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:H
Last Name:WEAR
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 1:12425 N 96TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-2033
Mailing Address - Country:US
Mailing Address - Phone:402-917-2020
Mailing Address - Fax:402-571-3229
Practice Address - Street 1:12425 N 96TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-2033
Practice Address - Country:US
Practice Address - Phone:402-917-2020
Practice Address - Fax:402-571-3229
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1156225100000X, 2251E1200X, 2251G0304X, 2251H1300X, 2251S0007X, 2251X0800X
IA02875225100000X, 2251E1200X, 2251G0304X, 2251H1300X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman Factors
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE264838OtherCOVENTRY
NE39856OtherBCBS PIN1
NENE-1945-1002OtherPREFERRED THERAPY PROVIDE
IA98985OtherBC/BS
NEBA-5551648OtherMULTIPLAN
NEF244798OtherMIDLANDS CHOICE
NE36530OtherBC/BS NEBRASKA
NE09248OtherBC/BS
NE264838OtherCOVENTRY
NE272071Medicare PIN
IA98985OtherBC/BS