NEBRASKA CITY PHYSICAL THERAPY, LLC (NPI# 1437453164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437453164 |
| Entity Type | Organization |
| Organization Name | NEBRASKA CITY PHYSICAL THERAPY, LLC |
| Other Organization Name | ENHANCED PHYSICAL THERAPY |
| Practice Address |
1104 Grundman Blvd Nebraska City NE 68410-3397 |
| Practice Telephone | 4028737411 |
| Practice Fax Number | 4028737413 |
| Mailing Telephone | 4028737411 |
| Mailing Fax Number | 4028737413 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | THERESA LYNN GODFREY (SENIOR ACCOUNTANT/DELEGATED OFFICER) |
| Authorized Official Telephone | 4023346025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100258032-00 | 05 | |
| NE | 100259310-01 | 05 | |
| NE | 100259310-00 | 05 |
| Other Name | Type Code |
|---|---|
| Enhanced Physical Therapy | Doing Business As Name - Organization |
| Havelock Physical Therapy | Doing Business As Name - Organization |
| Nebraska City Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1104 GRUNDMAN BLVD |
| City | NEBRASKA CITY |
| State | NE |
| Zip Code | 68410-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619064300 | Brett I Smith | Physical Therapist | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2006-10-06 |
| 1760094940 | Trevor Allan Bollinger | Physical Therapist | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2020-08-19 |
| 1568096139 | Tess Kathleen Crotty | Physical Therapy Assistant | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2020-02-23 |
| 1174156442 | Tina Marie Smith | Physical Therapy Assistant | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2020-02-14 |
| 1063045334 | Susan Elaine Benton | Physical Therapy Assistant | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2020-02-14 |
| 1437662541 | Tyler Robert Klotz | Physical Therapist | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2017-11-10 |
| 1548515919 | Andrew Donald Miner | Physical Therapist | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2012-07-20 |
| 1841555364 | Cody A Konopasek | Physical Therapist | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689987158 | Shelly R Benshoof | Counselor | 917 Wildwood Lane, Suite 153, Nebraska City, NE 68410 | 2010-07-26 |
| 1346579778 | Kvc Behavioral Healthcare Nebraska | Community/Behavioral Health | 1111 Grundman Boulevard, Nebraska City, NE 68410 | 2009-12-14 |
| 1093043655 | Jeffrey Lynn Cumro | Chiropractor | 605 1st Corso, Nebraska City, NE 68410 | 2009-11-19 |
| 1700073020 | Assisted Living Concepts Inc | Assisted Living Facility | 1500 14th Avenue, Nebraska City, NE 68410 | 2007-10-01 |
| 1396864054 | Daniel Joseph Pfeifler | Physical Therapy Assistant | 1240 N. 19th St, Nebraska City, NE 68410 | 2007-03-27 |
| 1811008188 | William Joseph Einerson | Dentist | 106 S 12th St, Nebraska City Dental PC, Nebraska City, NE 68410 | 2006-08-31 |
| 1285628297 | Paul Lloyd Salansky Jr. | Optometrist | 121 N 8th St, Nebraska City, NE 68410 | 2005-09-06 |
| 1831614783 | Mitchell Hagedorn | Physical Therapist | 1301 Grundman Blvd, Nebraska City, NE 68410 | 2017-08-11 |
| 1265988554 | Marathon Health, LLC | General Practice | 1110 Grundman Blvd, C/o Cargill Employee Health Center, Nebraska City, NE 68410 | 2016-08-28 |
| 1083084792 | Swfac Plc | Podiatrist | 1301 Grundman Blvd., Nebraska City, NE 68410 | 2015-10-07 |
| Find all providers in zip 68410 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638853 | Neu You Physical Therapy, PC | Clinic/Center | 614 N 4th St, Oneill, NE 68763-1303 | 2020-08-06 |
| 1083258594 | Kel-pt LLC | Clinic/Center | 214 N Pearl St Ste A, Wayne, NE 68787-1902 | 2019-10-29 |
| 1831681691 | Bussey Physical Therapy, LLC | Clinic/Center | 10156 S 168th Ave Ste 3, Omaha, NE 68136-4240 | 2018-06-06 |
| 1821591744 | Bluffs Physical Therapy LLC | Clinic/Center | 3510 Avenue B Ste A, Scottsbluff, NE 69361-4314 | 2018-03-16 |
| 1750897807 | Bcpt LLC | Clinic/Center | 706 Patterson St, Cambridge, NE 69022-6598 | 2017-12-26 |
| 1518405901 | Team Physical Therapy, P.C. | Clinic/Center | 207 South Grand Avenue, Callaway, NE 68825 | 2017-02-06 |
| 1811448640 | Advanced Physical Therapy LLC | Clinic/Center | 5640 S 84th St, 100, Lincoln, NE 68516-4471 | 2016-10-17 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1689121360 | Specialized Physical Therapy | Clinic/Center | 7611 Pacific St, Omaha, NE 68114-5420 | 2016-09-09 |
| 1811440571 | Coreworks Physical Therapy | Clinic/Center | 11303 Wright Cir, Omaha, NE 68144-4738 | 2016-07-29 |
| Find all providers with the same taxonomy | ||||
| City | NEBRASKA CITY |
| Zip Code | 68410 |
Please comment or provide details below to improve the information on NEBRASKA CITY PHYSICAL THERAPY, LLC.
| 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.