NPIMap

Organization Active NPI

Norfolk Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Norfolk, NE
National Provider Identifier
1063784346
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1147 Issued in NE
Legal business name
NORFOLK PHYSICAL THERAPY PC
Practice address
1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone
(402) 371-9707
Fax
(402) 371-9719
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Douglas Junge, PTNPI 1174573620
Title
President
Phone
(402) 371-9707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1147 NE Primary

Addresses

Primary practice location

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769

Mailing address

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone (402) 371-9707

National Provider Directory

National Provider Directory
Tax ID family
Norfolk Physical Therapy PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1063784346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W BENJAMIN AVE",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012769",
            "telephone_number": "402-371-9707",
            "fax_number": "402-371-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W BENJAMIN AVE",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012769",
            "telephone_number": "402-371-9707",
            "fax_number": "402-371-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "JUNGE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-371-9707",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.