ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1396235016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396235016 |
Entity Type | Organization |
Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
Other Organization Name | EXCEL PHYSICAL THERAPY |
Practice Address |
7818 Dodge St Omaha NE 68114-3412 |
Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
Practice Telephone | 4024936808 |
Practice Fax Number | 4024936979 |
Mailing Telephone | 6305751980 |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-05-17 |
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 |
1790275584 | Athletico Excel Nebraska, LLC | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512-1423 | 2018-05-16 |
1265932792 | Athletico Excel Nebraska, LLC | Physical Therapist | 603 N Diers Ave Ste 1, Grand Island, NE 68803-4987 | 2018-02-21 |
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 |
7818 DODGE ST |
City | OMAHA |
State | NE |
Zip Code | 68114-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629038666 | Guy Linwood Shelton | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2006-03-24 |
1588110712 | Meggan Elizabeth Breuer | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2016-08-28 |
1316350838 | Nicholas James Weber | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2014-06-03 |
1639305717 | Paul Murray | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2009-06-03 |
1033377494 | Aaron Michael Kobza | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2008-06-01 |
1851353619 | Stacy Jean Fritz | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2006-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
Find all providers in zip 68114 |
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 |
---|---|---|---|---|
1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
1083225817 | Kubat Clinical Services LLC | Clinic/Center | 4924 Center St # A-1, Omaha, NE 68106-3219 | 2020-08-14 |
1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
1649614389 | Alan D Jensen Md P C | Clinic/Center | 8761 W Center Rd Ste B, Omaha, NE 68124-2166 | 2013-04-24 |
1952573081 | Mid America Ear, Nose & Throat Clinic, PC | Clinic/Center | 7710 Mercy Rd Ste 205, Omaha, NE 68124-2346 | 2008-03-28 |
1346466745 | Creighton University Medical Center | Clinic/Center | 601 N 30th St Ste 3m-100, Omaha, NE 68131-2137 | 2007-04-17 |
1003829383 | Powers Chiropractic, P.C. | Clinic/Center | 11343 Wright Cir, Omaha, NE 68144-4738 | 2006-08-15 |
1023044203 | Results Chiropractic | Clinic/Center | 6005 Maple St, Omaha, NE 68104-4103 | 2006-06-23 |
1861455859 | John R. Kirchner, Md | Clinic/Center | 13906 Gold Cir, Suite 101, Omaha, NE 68144-2336 | 2006-04-10 |
Find all providers in OMAHA |
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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.