Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Paul Gregory Elam, PTA

Individual provider Skilled Nursing Facility · NPI 1861771099

Mr. Paul Gregory Elam, PTA is a Skilled Nursing Facility in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4809 Redman Ave
Omaha, NE 68104-1842
Phone: (402) 455-5025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 353 (NE)

Record details

NPI number1861771099
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 5, 2011
Last updated in NPPESAugust 5, 2011

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