ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1265932792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265932792 |
Entity Type | Organization |
Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
Other Organization Name | EXCEL PHYSICAL THERAPY |
Practice Address |
603 N Diers Ave Ste 1 Grand Island NE 68803-4987 |
Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
Practice Telephone | 3083894418 |
Practice Fax Number | 3083894419 |
Mailing Telephone | 6305751980 |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-02-21 |
Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
Authorized Official Telephone | 6305751980 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Excel Physical Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790331601 | Athletico Excel Nebraska, LLC | Occupational Therapist | 16918 Morgan Avenue, Ste 11, Gretna, NE 68136 | 2019-08-15 |
1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
1477012177 | Athletico Excel Nebraska, LLC | Physical Therapist | 200 N 66th St # 20, Lincoln, NE 68505-2575 | 2019-03-13 |
1013407733 | Athletico Excel Nebraska, LLC | Physical Therapist | 3301 Dodge St Bldg 1, Omaha, NE 68131-3416 | 2018-05-17 |
1548760077 | Athletico Excel Nebraska, LLC | Physical Therapist | 3301 E Elkhorn Dr Ste 200, Fremont, NE 68025-6240 | 2018-02-21 |
1205336765 | Athletico Excel Nebraska, LLC | Occupational Therapist | 2953 S 168th St Ste 100, Omaha, NE 68130-2000 | 2018-02-20 |
1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
1396235016 | Athletico Excel Nebraska, LLC | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2018-05-17 |
1790275584 | Athletico Excel Nebraska, LLC | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512-1423 | 2018-05-16 |
1801396338 | Athletico Excel Nebraska, LLC | Physical Therapist | 2021 23rd St, Columbus, NE 68601-3427 | 2018-02-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | ATHLETICO EXCEL NEBRASKA, LLC | 625 Enterprise Dr, Oak Brook, IL 60523 |
Street Address |
603 N DIERS AVE STE 1 |
City | GRAND ISLAND |
State | NE |
Zip Code | 68803-4987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013109347 | Elizabeth Dixson | Physical Therapist | 603 N Diers Ave Ste 1, Grand Island, NE 68803-4987 | 2007-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
Find all providers in zip 68803 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194101014 | Redzone Chiropractic LLC. | Clinic/Center | 523 W 3rd St, Grand Island, NE 68801-5944 | 2015-08-03 |
1457389934 | Saint Francis Medical Center | Clinic/Center | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
1851903967 | Lincoln Tongue Tie Center LLC | Clinic/Center | 5760 S 86th St Ste 2, Lincoln, NE 68526-6053 | 2020-08-19 |
1083225817 | Kubat Clinical Services LLC | Clinic/Center | 4924 Center St # A-1, Omaha, NE 68106-3219 | 2020-08-14 |
1396365052 | Therapeutic Procedures PC | Clinic/Center | 701 Pinnacle Dr, Papillion, NE 68046-6224 | 2020-04-23 |
1245882778 | Hospice Community Care of Nebraska, LLC | Clinic/Center | 300 S 68th Street Pl Ste 205, Lincoln, NE 68510-2450 | 2019-07-15 |
1700353992 | Ascend Chiropractic, LLC | Clinic/Center | 5611 Nw 1st St Ste 105, Lincoln, NE 68521-4469 | 2018-10-26 |
1134694730 | Joyful Heart House Calls, LLC | Clinic/Center | 2903 Cape Horn Cir, Plattsmouth, NE 68048-7159 | 2018-10-10 |
1255834982 | Ks Old Cheney, LLC | Clinic/Center | 6450 O St Ste 2, Lincoln, NE 68510-2369 | 2018-03-08 |
1144721820 | Ideal Option, Pllc | Clinic/Center | 600 N Cotner Blvd Ste 101, Lincoln, NE 68505-2343 | 2018-02-27 |
1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
Find all providers with the same taxonomy |
City | GRAND ISLAND |
Zip Code | 68803 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.