TEAM PHYSICAL THERAPY, P.C. (NPI# 1518405901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518405901 |
| Entity Type | Organization |
| Organization Name | TEAM PHYSICAL THERAPY, P.C. |
| Practice Address |
207 South Grand Avenue Callaway NE 68825 |
| Mailing Address |
Po Box 307 Callaway NE 68825-0307 |
| Practice Telephone | 3088362288 |
| Practice Fax Number | 3088362288 |
| Mailing Telephone | 3088362288 |
| Mailing Fax Number | 3088362288 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | JEFF DENSON (DIRECTOR OF OPERATIONS & PERSONNEL) |
| Authorized Official Telephone | 3088725111 |
| Authorized Official Credential | PT |
| Is Organization Subpart | Y |
| Parent Organization Name | TEAM PHYSICAL THERAPY, P.C. |
| 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 | 10026075904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595625 | Team Physical Therapy, P.C. | Clinic/Center | 325 South 1st Avenue, Broken Bow, NE 68822-2331 | 2006-07-07 |
| 1942747225 | Team Physical Therapy, P.C. | Clinic/Center | 280 N 8th Ave, Burwell, NE 68823-4168 | 2017-01-25 |
| 1386052520 | Team Physical Therapy, P.C. | Physical Therapist | 325 S 1st Ave, Broken Bow, NE 68822-2213 | 2014-07-31 |
| 1073854295 | Team Physical Therapy, P.C. | Physical Therapist | 3811 Central Ave, Suite F, Kearney, NE 68847-8173 | 2013-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEAM PHYSICAL THERAPY, P.C. | 325 S 1st Ave, Broken Bow, NE 68822-2213 |
| Street Address |
207 SOUTH GRAND AVENUE |
| City | CALLAWAY |
| State | NE |
| Zip Code | 68825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154252 | Mattison Idell Anderson | Speech-Language Pathologist | 101 N, S Needham Ave, Callaway, NE 68825 | 2020-08-13 |
| 1710471537 | Tessa J Keeney | Physician Assistant | 211 E Kimball St, Callaway, NE 68825 | 2018-06-15 |
| 1831173319 | Edg-fam, Inc | Durable Medical Equipment & Medical Supplies | 113 E Kimball St, Callaway, NE 68825-0130 | 2005-11-30 |
| 1861473829 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 600 W Kimball St, Callaway, NE 68825-0250 | 2005-11-08 |
| 1902107345 | Magdol PC | Pharmacy | 200 E Pacific St, Callaway, NE 68825-2500 | 2010-11-16 |
| 1023001724 | Ronald John Sheppard | Family Medicine | 213 E Kimball St, Callaway, NE 68825-2589 | 2005-08-26 |
| 1639217078 | Timothy Aaron Rosfeld | Physician Assistant | 211 E Kimball St, Callaway, NE 68825-2589 | 2007-02-01 |
| 1750399903 | Kenneth Leroy Loper | Family Medicine | 213 E Kimball St, Callaway, NE 68825-2589 | 2006-08-04 |
| 1750630661 | Callaway Good Life Center Inc | Skilled Nursing Facility | 600 W Kimball St, Callaway, NE 68825-2592 | 2012-09-06 |
| 1952534323 | Kristen Ann Rickertsen | Nurse Practitioner | 213 East Kimball Street, Callaway, NE 68825-2596 | 2009-09-01 |
| Find all providers in zip 68825 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134307986 | Compass Physical Therapy | Clinic/Center | 807 N Tyndall Pkwy, Callaway, FL 32404-9495 | 2008-02-04 |
| 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 |
| 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 |
| 1720450687 | Gina V Physical Therapy, LLC | Clinic/Center | 114 E 1st Street, Papillion, NE 68046 | 2015-10-30 |
| Find all providers with the same taxonomy | ||||
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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.