NPIMap

Organization Active NPI

Stodden Physcial Therapy,L.L.C.

  • Physical Therapist
  • Bennington, NE
National Provider Identifier
1063867984
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2556 Issued in NE
Legal business name
STODDEN PHYSCIAL THERAPY,L.L.C.
Practice address
15767 C W Hadan Dr
Bennington, NE 68007-2015
Phone
(402) 238-2552
Fax
(402) 238-3662
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mike Stodden
Title
President / Owner
Phone
(402) 289-5013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1604 NE
Physical Therapist 225100000X 2556 NE Primary

Addresses

Primary practice location

15767 C W Hadan Dr
Bennington, NE 68007-2015

Mailing address

15767 C W Hadan Dr
Bennington, NE 68007-2015
Phone (402) 238-2552

National Provider Directory

National Provider Directory
Tax ID family
Stodden Physical Therapyllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

15767 Hadan Dr
Bennington, NE 68007
Phone (402) 238-2552

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1063867984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15767 C W HADAN DR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680072015",
            "telephone_number": "402-238-2552",
            "fax_number": "402-238-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15767 C W HADAN DR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680072015",
            "telephone_number": "402-238-2552",
            "fax_number": "402-238-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STODDEN PHYSCIAL THERAPY,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "STODDEN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "402-289-5013"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1604",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.