Integrated Care

Dr. Louis Nutter, DC

Dr. Louis Nutter, DC, is a licensed chiropractor based in Omaha, Nebraska, with a strong focus on chiropractic care, occupational health, and preventive medicine. He earned his Doctor of Chiropractic degree from Cleveland Chiropractic College – Kansas City in 2017 and has been in practice for more than eight years. He is licensed in the state of Nebraska (License #1959) and holds a National Provider Identifier (NPI 1962904334). Dr. Nutter provides care through Integrated Care / Integrated Rehab LLC, with his primary practice located at 14450 Meadows Blvd, Omaha, NE 68138, and a secondary office at 4832 S. 24th Street, Omaha. His clinic maintains standard business hours Monday through Friday and serves both individual patients and occupational health clients. In his clinical work, Dr. Nutter specializes in chiropractic adjustments, spinal manipulation, and manual therapy, while also offering occupational health services, including DOT physical examinations as a certified medical examiner. His practice accepts Medicare, Medicaid, and a wide range of private insurance plans, ensuring accessibility for a diverse patient base. Patients and colleagues describe him as attentive and efficient, often recognized for helping patients not only with their physical needs but also with necessary documentation for workplace compliance and health requirements. His professional philosophy reflects a balance of restorative chiropractic care and preventative occupational health, addressing both the immediate musculoskeletal needs of patients and the broader regulatory requirements for employers and commercial drivers. Through his work at Integrated Care, Dr. Nutter continues to support both individual wellness and workplace safety, building a reputation as a trusted chiropractor and occupational health provider in the Omaha community.

Tyler Spence, PTA

Tyler J. Spence is a licensed Physical Therapy Assistant (PTA) practicing in Omaha, Nebraska. He holds NPI number 1790452795, which was assigned on August 26, 2021. His Nebraska PTA license number is 1936. Clinic location 14450 Meadows Blvd, Omaha, 68138. He can be reached via phone at (402) 502-1819. integratedcarellc.com Within his role at Integrated Care. Tyler not only practices as a PTA but also serves as Director of Rehabilitation. integratedcarellc.com In this capacity, he oversees rehabilitation services, particularly those tied to occupational health—such as physical capacity profile testing, workers’ compensation rehabilitation, and multidisciplinary case management coordination. integratedcarellc.com As a PTA, Tyler works under the supervision of physical therapists to assist in executing therapeutic programs delegated to him. Orthopedic His tasks include implementing treatment plans, guiding patients through exercises, monitoring their progress, and reporting outcomes or concerns back to supervising therapists. Tyler’s contributions are integral to bridging the gap between patient care and the administrative facets of occupational therapy—serving both as a hands-on therapist and as a leader in rehabilitation operations.

Services: Physical Therapy

Septembra Da Silva

Septembra Da Silva is the Occupational Health Manager at Integrated Care, LLC, where she leads the coordination and delivery of employer-focused health services. In this role, she oversees workplace health programs, including DOT and non-DOT drug and alcohol testing, physical examinations, and other compliance-based occupational health initiatives. Her responsibilities extend beyond program oversight to include supporting both clients and staff with clear communication, problem-solving, and process improvements. Septembra serves as a vital link between providers, employees, and employers, ensuring that occupational health operations run smoothly, regulatory standards are met, and the needs of both organizations and their workforce are addressed. With her leadership, Integrated Care’s occupational health division continues to provide reliable, efficient, and responsive services that support workplace safety and employee well-being.

Alex Ferrer, DPT

Alex Ferrer, DPT, is a bilingual Physical Therapist who brings a specialized focus to workers' compensation rehabilitation, functional capacity evaluations, and early symptom intervention. With a robust understanding of both clinical and occupational health, Dr. Ferrer tailors his therapeutic strategies to meet the unique needs of each patient, ensuring a swift and sustainable return to work. His expertise is complemented by his ability to communicate effectively in both English and Spanish, enhancing his interactions with a diverse patient population.

Education: Doctor of Physical Therapy - University of Iowa

Services: Physical Therapy , Functional Capacity Evaluations , Disability Ratings