SPECIALIZED PHYSICAL THERAPY (NPI# 1689121360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689121360 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED PHYSICAL THERAPY |
| Practice Address |
7611 Pacific St Omaha NE 68114-5420 |
| Practice Telephone | 4027638774 |
| Practice Fax Number | 4027155742 |
| Mailing Telephone | 4027638774 |
| Mailing Fax Number | 4027155742 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | JACQUELYN B. ZIMMERMAN (VICE PRESIDENT) |
| Authorized Official Telephone | 4029811406 |
| Authorized Official Credential | PT |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346317344 | Specialized Physical Therapy | Physical Therapist | 533b Keyway Dr, Flowood, MS 39232-8809 | 2006-11-29 |
| 1134289275 | Specialized Physical Therapy | Physical Therapist | 533b Keyway Dr, Flowood, MS 39232-8809 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporation | SPECIALIZED PHYSICAL THERAPY, LLC | 161 MAIN ST UNIT 3 , NORTH READING, MA 01864 |
| Virginia Business Entity | Specialized Physical Therapy, LLC | 7206 HULL ST RD STE 110 , RICHMOND, VA 23225 |
| Street Address |
7611 PACIFIC ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851872329 | Patricia Arant | Physical Therapy Assistant | 7611 Pacific St, Omaha, NE 68114-5420 | 2018-08-23 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831681691 | Bussey Physical Therapy, LLC | Clinic/Center | 10156 S 168th Ave Ste 3, Omaha, NE 68136-4240 | 2018-06-06 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1811440571 | Coreworks Physical Therapy | Clinic/Center | 11303 Wright Cir, Omaha, NE 68144-4738 | 2016-07-29 |
| 1760738652 | Mcguigan Physical Therapy Specialists LLC | Clinic/Center | 15825 W Maple Rd, Suite 102, Omaha, NE 68116-8253 | 2012-07-28 |
| 1659675635 | Physiotherapy Associates, Inc | Clinic/Center | 200 S 31st Ave, Suite 4101, Omaha, NE 68131-1404 | 2011-01-05 |
| 1932414604 | Community Rehab Inc. | Clinic/Center | 12301 No. 149th Circle, Ridgewood Clubhouse, Omaha, NE 68007 | 2010-08-18 |
| 1083859680 | The Rehab Guru, P.C. | Clinic/Center | 366 N 114th St, 16909 Burke St. Suite 200, Omaha, NE 68154-2517 | 2008-12-10 |
| 1174654388 | Occupational Health Centers of Nebraska, P.C. | Clinic/Center | 2900 F St, Omaha, NE 68107-1533 | 2007-03-08 |
| 1407987654 | Occupational Health Centers of Nebraska, P.C. | Clinic/Center | 9602 M St, Omaha, NE 68127-2053 | 2007-03-08 |
| 1508944638 | East & West Physical Therapy LLC | Clinic/Center | 2919 S 120th St, Omaha, NE 68144-4310 | 2006-11-02 |
| 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.