Active NPI
Cameron Everitt, PT
- Physical Therapist
- Oneill, NE
National Provider Identifier
1093099152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1303
- Practice address
- 300 N 2ND St
Oneill, NE 68763-1514 - Phone
- (402) 336-5165
- NPI assigned
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1303 | NE | Primary |
Addresses
Primary practice location
300 N 2ND St
Oneill, NE 68763-1514
Mailing address
300 N 2ND St
Oneill, NE 68763-1514
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1093099152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N 2ND ST",
"city": "ONEILL",
"state": "NE",
"postal_code": "687631514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 2ND ST",
"city": "ONEILL",
"state": "NE",
"postal_code": "687631514",
"telephone_number": "402-336-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERITT",
"first_name": "CAMERON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oneill, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.