HAVELOCK PHYSICAL THERAPY LLC (NPI# 1952638355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952638355 |
| Entity Type | Organization |
| Organization Name | HAVELOCK PHYSICAL THERAPY LLC |
| Other Organization Name | HAVELOCK PHYSICAL THERAPY |
| Practice Address |
6319 Havelock Ave Lincoln NE 68507-1328 |
| Practice Telephone | 4023250044 |
| Practice Fax Number | 4023250049 |
| Mailing Telephone | 4023250044 |
| Mailing Fax Number | 4023250049 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2011-01-15 |
| Authorized Official Name | BRETT I SMITH (OWNER) |
| Authorized Official Telephone | 4023250044 |
| 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 |
|---|---|---|---|
| PTAN | NA1442 | 01 |
| Other Name | Type Code |
|---|---|
| Havelock Physical Therapy | Doing Business As Name - Organization |
| Street Address |
6319 HAVELOCK AVE |
| City | LINCOLN |
| State | NE |
| Zip Code | 68507-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578650263 | Thomas T Stootsberry | Physical Therapist | 6319 Havelock Ave, Lincoln, NE 68507-1328 | 2006-10-06 |
| 1992339576 | Blake Ostrander | Physical Therapy Assistant | 6319 Havelock Ave, Lincoln, NE 68507-1328 | 2020-02-24 |
| 1952733859 | Joel M Neihardt | Physical Therapist | 6319 Havelock Ave, Lincoln, NE 68507-1328 | 2013-08-01 |
| 1124175583 | Jeffrey G Creal | Physical Therapist | 6319 Havelock Ave, Lincoln, NE 68507-1328 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955381 | Lincoln Public Schools | Local Education Agency (LEA) | 4016 North 68th Street, Lincoln, NE 68507 | 2017-04-05 |
| 1992144026 | Laurie Bayless | Community Health Worker | 4112 Touzalin Ave, Lincoln, NE 68507 | 2013-06-21 |
| 1952601106 | Prestige Family Chiropractic and Rehab PC | Chiropractor | 2800 N. 83rd St., Suite E, Lincoln, NE 68507 | 2010-10-21 |
| 1790933083 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 3400 North 85th St., Lincoln, NE 68507 | 2008-08-29 |
| 1750435137 | David C Zieg | Dentist | 6301 Havelock Ave, Lincoln, NE 68507 | 2007-01-22 |
| 1790721272 | Havelock Chiropractic Center PC | Chiropractor | 6132 Havelock Avenue, Suite A, Lincoln, NE 68507 | 2006-06-21 |
| 1215971122 | David Walter Lauer | Chiropractor | 6132 Havelock Ave, Suite A, Lincoln, NE 68507 | 2006-06-15 |
| 1124546874 | Matthew Michael Burk | Speech-Language Pathologist | 2635 N 63rd St, Lincoln, NE 68507 | 2017-09-01 |
| 1366612665 | Kontras and Palmer Dds PC | Dentist | 6129 Havelock Ave, Lincoln, NE 68507-1234 | 2008-03-03 |
| 1184953549 | James Douglas Palmer | Dentist | 6129 Havelock Ave, Lincoln, NE 68507-1234 | 2009-12-14 |
| Find all providers in zip 68507 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811448640 | Advanced Physical Therapy LLC | Clinic/Center | 5640 S 84th St, 100, Lincoln, NE 68516-4471 | 2016-10-17 |
| 1487067518 | Sandquist Mfr Therapy, LLC | Clinic/Center | 3701 O St, Suite 201k, Lincoln, NE 68510-1600 | 2014-06-05 |
| 1033539135 | Mls Physical Therapy, LLC | Clinic/Center | 3435 Sw 77th St, Lincoln, NE 68532-9133 | 2014-04-16 |
| 1700931771 | J & Whit LLC | Clinic/Center | 6345 S 56th St Ste 100, Lincoln, NE 68516-3393 | 2007-01-23 |
| 1760415764 | Hruska Clinic Inc. | Clinic/Center | 5241 R St, Lincoln, NE 68504-3422 | 2006-07-10 |
| 1922031137 | White Mountain Physical Therapy Lp | Clinic/Center | Lincoln Square, Unit 4, Lincoln, NH 03251 | 2006-07-09 |
| 1336192988 | Physical Therapy Connection and Nursing Services, Inc. | Clinic/Center | 1101 Arapahoe St, Suite 2, Lincoln, NE 68502-4417 | 2006-05-17 |
| 1144287897 | Crossroads Physical Therapy PC | Clinic/Center | 6101 S 56th St, Suite # 1, Lincoln, NE 68516-3392 | 2006-04-27 |
| 1760992416 | Encore Preakness, Inc. | Clinic/Center | 6040 S 58th St Ste C, Lincoln, NE 68516-3695 | 2017-10-09 |
| 1063892099 | Tom Kruse Physical Therapy PC | Clinic/Center | 8055 O St, Suite S103, Lincoln, NE 68510-2564 | 2015-06-04 |
| Find all providers in LINCOLN | ||||
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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.