Robert J Dyer, PT – Physical Therapist in Cozad, NE

Key facts

NPI: 1104950690
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2033 (NE)
Practice address: 303 E 12TH St
Cozad, NE 69130-1506
Phone: (308) 784-2231
Fax: (308) 784-3649
NPI assigned: Mar 15, 2007
Sex: Male
Sole proprietor: No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2033	NE	MD	Physician Assistant
102338	NE	MD	Personal Care Attendant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2033	NE	Yes

Addresses

Primary practice location

303 E 12TH St
Cozad, NE 69130-1506

Mailing address

303 E 12TH St
Cozad, NE 69130-1506
Phone (308) 784-2231

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104950690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 12TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301506",
            "telephone_number": "308-784-2231",
            "fax_number": "308-784-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E 12TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301506",
            "telephone_number": "308-784-2231",
            "fax_number": "308-784-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cozad, NE

All providers in Cozad, NE · Physical Therapist in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.