Individual provider Active NPI

Jonathan McQuistan, PT, DPT

  • Physical Therapist
  • Bellevue, NE
National Provider Identifier
1013392257
Registry record updated Aug 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3495 Issued in NE
Practice address
701 Galvin Rd S
Suite 112
Bellevue, NE 68005-2206
Phone
(402) 292-4000
Fax
(402) 292-4001
NPI assigned
Jul 29, 2015
Last updated
Aug 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3495 NE Primary

Addresses

Primary practice location

701 Galvin Rd S
Suite 112
Bellevue, NE 68005-2206

Mailing address

701 Galvin Rd S
Suite 112
Bellevue, NE 68005-2206
Phone (402) 292-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807013549 NE Practitioner - Physical Therapist in Private Practice 3072827864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy LLC Current Accepting new patients
Bellevue Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2015 Accepting new patients

Locations

2403 Towne Centre Dr
Ste 300
Bellevue, NE 68123
Phone (402) 292-4000

701 Galvin Rd S
Ste 112
Bellevue, NE 68005
Phone (402) 292-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438473600000",
    "number": "1013392257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GALVIN RD S",
            "address_2": "SUITE 112",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052206",
            "telephone_number": "402-292-4000",
            "fax_number": "402-292-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GALVIN RD S",
            "address_2": "SUITE 112",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052206",
            "telephone_number": "402-292-4000",
            "fax_number": "402-292-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUISTAN",
        "first_name": "JONATHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.