NPIMap

Organization Active NPI

Crossroads Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lincoln, NE
National Provider Identifier
1144287897
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
018829772 Issued in NE
Legal business name
CROSSROADS PHYSICAL THERAPY PC
Practice address
6101 S 56TH St
Suite # 1
Lincoln, NE 68516-3392
Phone
(402) 420-0800
Fax
(402) 420-0801
NPI assigned
Apr 27, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Connie Sue Horne, MSPTNPI 1265483754
Title
Physical Therapist Owner
Phone
(402) 420-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 018829772 NE Primary

Addresses

Primary practice location

6101 S 56TH St
Suite # 1
Lincoln, NE 68516-3392

Mailing address

6101 S 56TH St
Suite # 1
Lincoln, NE 68516-3392
Phone (402) 420-0800

Other identifiers 1

IdentifierTypeStateIssuer
910001171800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000772 NE Part B Supplier - Clinic/Group Practice 1759377542 Receives reassigned benefits from 10 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

5550 S 59th St
Ste 25
Lincoln, NE 68516
Phone (402) 261-8699

5550 S 59th St
Ste 26
Lincoln, NE 68516
Phone (402) 420-0800

6101 S 56th St
Ste 1
Lincoln, NE 68516
Phone (402) 420-0800

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1144287897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 S 56TH ST",
            "address_2": "SUITE # 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163392",
            "telephone_number": "402-420-0800",
            "fax_number": "402-420-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S 56TH ST",
            "address_2": "SUITE # 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163392",
            "telephone_number": "402-420-0800",
            "fax_number": "402-420-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "402-420-0800",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "018829772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910001171800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.