Jordan Briann Lotker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1467 Issued in NE

Practice address

313 E 12TH St
Cozad, NE 69130-1506

Phone

(308) 784-2231

Fax

(308) 784-3449

NPI assigned

Dec 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cozad Community Hospital

  • Rural Health Clinic/Center
  • Eustis, NE
  • NPI 1598281016
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1073382347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76445 ROAD 425",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691305300",
            "telephone_number": "308-991-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301506",
            "telephone_number": "308-784-2231",
            "fax_number": "308-784-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTKER",
        "first_name": "JORDAN",
        "middle_name": "BRIANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Rose Lindstedt
• Whitney Suzanne Lloyd
• Jakoby Loibl
• Juana Lopez Lucas
• Juana Lopez Vargas
• Hermelinda Lucas Reynoso
• Brooklyn Nyagua Lul
• Randall Joe Malcom
• Jennifer Noell Maline
• Ponira Manwel

• Physical Therapy Assistant in Cozad, NE
• Providers in Cozad, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.