ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1659871119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659871119 |
| Entity Type | Organization |
| Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
| Other Organization Name | EXCEL PHYSICAL THERAPY |
| Practice Address |
4620 S 50th St Omaha NE 68117-1373 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4027311944 |
| Practice Fax Number | 4027315503 |
| Mailing Telephone | 6305751980 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| 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 | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 1265932792 | Athletico Excel Nebraska, LLC | Physical Therapist | 603 N Diers Ave Ste 1, Grand Island, NE 68803-4987 | 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 |
4620 S 50TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68117-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144461583 | Natalie M Specht-bartman | Physical Therapist | 4620 S 50th St, Omaha, NE 68117-1373 | 2009-03-16 |
| 1942619176 | Andrew Cannon | Physical Therapist | 4620 S 50th St, Omaha, NE 68117-1373 | 2014-08-13 |
| 1689941445 | Gabriela Vogel | Physical Therapist | 4620 S 50th St, Omaha, NE 68117-1373 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869208 | Ricky Lee Eppenbaugh | Counselor | 5115 F St., Omaha, NE 68117 | 2007-01-23 |
| 1538210232 | Mark Edward Ward | Counselor | 5115 F St, Omaha, NE 68117 | 2007-01-16 |
| 1265591325 | Heartland Family Service | Clinic/Center | 7110 F Street, Omaha, NE 68117 | 2006-12-06 |
| 1396814182 | Parra Family Dentistry PC | Dentist | 5050 L Street, Omaha, NE 68117 | 2006-11-07 |
| 1104888775 | Richard G Runge | Pathology | 4955 F Street, Omaha, NE 68117 | 2006-04-06 |
| 1972583102 | Edward Paul Laine | Pathology | 4840 F St, Omaha, NE 68117 | 2006-01-23 |
| 1114914314 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 5362 F St, Omaha, NE 68117 | 2005-10-03 |
| 1306838461 | Barbara Anne Anderson | Counselor | 7110 F St, Heartland Family Service, Omaha, NE 68117 | 2005-08-16 |
| 1861931735 | Daniel James Wynn I | Counselor | 5115 F Street, Omaha, NE 68117 | 2017-02-13 |
| 1497201743 | Nicholas Pojar | Counselor | 5115 F Street, Omaha, NE 68117 | 2016-08-28 |
| Find all providers in zip 68117 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515257 | Brooke Meska | Physical Therapist | 4951 Center St Ste Ll, Omaha, NE 68106-3252 | 2020-07-13 |
| 1952929440 | Heartland Mobile Therapy, LLC | Physical Therapist | 15725 Madison Cir, Omaha, NE 68135-2337 | 2020-07-10 |
| 1487271235 | Mckenzie Vermeire | Physical Therapist | 3516 N 163rd Plz Ste 3, Omaha, NE 68116-2112 | 2020-06-28 |
| 1558996967 | Choice Rehabilitation LLC | Physical Therapist | 1044 N 115th St Ste 500, Omaha, NE 68154-4410 | 2020-03-05 |
| 1083246250 | Molly A Mcdonald | Physical Therapist | 17819 Pierce Plz, Omaha, NE 68130-1035 | 2020-02-06 |
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1760020127 | Maggie Chamberlain | Physical Therapist | 2412 Cuming St # 102, Omaha, NE 68131-1601 | 2019-12-17 |
| 1578115192 | Katie Jo Shalon | Physical Therapist | 1302 S 51st Ave, Omaha, NE 68106-2426 | 2019-07-13 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1588132799 | Samantha Jane Herbster | Physical Therapist | 10824 Old Mill Rd Ste 10-6, Omaha, NE 68154-2642 | 2018-11-06 |
| 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.