Individual provider Active NPI

Nolan Border, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1073188926
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1501 Pine Lake Rd Ste 20
Lincoln, NE 68512-3692
Phone
(402) 421-2700
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 Primary

Addresses

Primary practice location

1501 Pine Lake Rd Ste 20
Lincoln, NE 68512-3692

Mailing address

6940 Van Dorn St Ste 103
Lincoln, NE 68506-2858
Phone (402) 802-9157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3947NEMDIntellectual Disabilities Intermediate Care Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

1501 Pine Lake Rd
Ste 20
Lincoln, NE 68512
Phone (402) 421-2700

6940 Van Dorn St
Ste 103
Lincoln, NE 68506
Phone (402) 483-4709

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1073188926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-802-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD STE 20",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDER",
        "first_name": "NOLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 May 24, 2021; 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.