Jill Ann Becher-Bubak, PTA

Individual provider Active NPI Physical Therapy Assistant · Columbus, NE

NPI 1114206307 · NPPES record last updated Aug 5, 2011

Key facts

NPI
1114206307
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
902 (NE)
Practice address
2855 40TH Ave
Columbus, NE 68601-2152
Phone
(402) 564-8014
NPI assigned
Aug 5, 2011
Sex
Female
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

LicenseStateTypeSpecialty
902NEMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 902 NE Yes

Addresses

Primary practice location

2855 40TH Ave
Columbus, NE 68601-2152

Mailing address

2855 40TH Ave
Columbus, NE 68601-2152
Phone (402) 564-8014

Other names

  • Jill Ann Becher Former name

Other providers in Columbus, NE

All providers in Columbus, NE · Physical Therapy Assistant in Nebraska

Sources for this page

Verify at the official NPI Registry.