ATHLETICO EXCEL NEBRASKA, LLC


Address: 603 N Diers Ave Ste 1, Grand Island, NE 68803-4987
Phone: 3083894418

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Excel Physical Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities ATHLETICO EXCEL NEBRASKA, LLC 625 Enterprise Dr, Oak Brook, IL 60523

Office Location

Street Address 603 N DIERS AVE STE 1
City GRAND ISLAND
State NE
Zip Code 68803-4987

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013109347 Elizabeth Dixson Physical Therapist 603 N Diers Ave Ste 1, Grand Island, NE 68803-4987 2007-08-10

Providers in the same zip code

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 Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City GRAND ISLAND
Zip Code 68803

Improve Information

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Dataset Information

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.

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