Macie R Bunger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4599 Issued in NE

Practice address

433 N Willson St
Blue Hill, NE 68930-3507

Phone

(402) 756-2140

Fax

(402) 756-2139

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

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

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabvisions Therapy Mo LLCGroup PAC ID 2062936586, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehabvisions Therapy Mo LLC

  dba Edge Physical Therapy

  • Physical Therapy Clinic/Center
  • Papillion, NE
  • NPI 1174344618

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Leading Edge, Inc

  dba Edge Physical Therapy

  • Physical Therapist
  • Papillion, NE
  • NPI 1730344201
  NPD

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1093566820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-460-5836",
            "fax_number": "402-460-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N WILLSON ST",
            "city": "BLUE HILL",
            "state": "NE",
            "postal_code": "689303507",
            "telephone_number": "402-756-2140",
            "fax_number": "402-756-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGER",
        "first_name": "MACIE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Hill Opco LLC (Adept Nursing & Rehab of Blue Hill)
• Blue Hill Public Schools
• Nancy D Bredenkamp, APRN
• Katrina Marie Brenn, RN
• Kara Burken, APRN
• Tori Lynn Coats I
• Leon J Davis, MD
• Kimberly Fagiolo
• Five Star Quality Care-NE LLC (Blue Hill Care Center)

• Physical Therapist in Blue Hill, NE
• Providers in Blue Hill, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.