Morrill Co Public School Dist 63

Organization Active NPI Physical Therapy Clinic/Center · Bridgeport, NE

NPI 1154058006 · NPPES record last updated Aug 2, 2022

Key facts

NPI
1154058006
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
MORRILL CO PUBLIC SCHOOL DIST 63
Practice address
800 Q St
Bridgeport, NE 69336-2519
Phone
(308) 262-1470
Fax
(308) 262-1284
NPI assigned
Aug 2, 2022
Organization subpart
No

Authorized official

Name
Yvonne L Brown
Title
Business Manager
Phone
(308) 262-1470

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Physical Therapy Clinic/Center 261QP2000X Yes
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

800 Q St
Bridgeport, NE 69336-2519

Mailing address

PO Box 430
Bridgeport, NE 69336-0430
Phone (308) 262-1470

Other names

  • Bridgeport Public Schools Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2022.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1154058006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693360430",
            "telephone_number": "308-262-1470",
            "fax_number": "308-262-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 Q ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362519",
            "telephone_number": "308-262-1470",
            "fax_number": "308-262-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRILL CO PUBLIC SCHOOL DIST 63",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "308-262-1470"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Public Schools",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, NE

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Sources for this page

Verify at the official NPI Registry.