Individual provider Active NPI

Chance D Unger, PT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1043690928
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3453 Issued in NE
Practice address
6900 A St
Ste 102
Lincoln, NE 68510-4120
Phone
(402) 436-2535
Fax
(402) 436-2540
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 3453 NE Primary

Addresses

Primary practice location

6900 A St
Ste 102
Lincoln, NE 68510-4120

Mailing address

5790 N 33Rd St
Ste a
Lincoln, NE 68504-4651
Phone (402) 436-2535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000563 NE Practitioner - Physical Therapist in Private Practice 8921310152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Orthopedic Physical Therapy PCGroup PAC ID 8729074166, 47 clinicians

Practice addresses (Care Compare)

345 Speedway Cir
Suite 3
Lincoln, NE 68502-3313
Phone (531) 500-4779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3453NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients

Locations

6900 A St
Ste 102
Lincoln, NE 68510
Phone (402) 436-2535

345 Speedway Cir
Ste 3
Lincoln, NE 68502
Phone (531) 500-4779

1900 K St
Ste 170
Lincoln, NE 68510
Phone (531) 204-8810

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

4920 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 434-5361

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1043690928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 N 33RD ST",
            "address_2": "STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044651",
            "telephone_number": "402-436-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 A ST",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104120",
            "telephone_number": "402-436-2535",
            "fax_number": "402-436-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "CHANCE",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.