NPIMap

Organization Active NPI

Rehabvisions Therapy Mo LLC

Doing business as Edge Physical Therapy

  • Physical Therapy Clinic/Center
  • Papillion, NE
National Provider Identifier
1174344618
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHABVISIONS THERAPY MO LLC
Doing business as
Edge Physical Therapy
Practice address
11336 S 96TH St Ste 114
Papillion, NE 68046-4211
Phone
(402) 315-3603
Fax
(402) 315-3604
NPI assigned
Oct 17, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Mrs. Theresa Godfrey
Title
Clinic Administrative Director
Phone
(402) 334-6025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

11336 S 96TH St Ste 114
Papillion, NE 68046-4211

Mailing address

11623 Arbor St Ste 200
Omaha, NE 68144-2991
Phone (402) 334-6025

Other identifiers 1

IdentifierTypeStateIssuer
1174344618OtherNENPI

Other names 1

  • Edge Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250407001389 NE Part B Supplier - Clinic/Group Practice 2062936586 Receives reassigned benefits from 6 practitioners
Practice locations: Papillion, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1174344618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ARBOR ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442991",
            "telephone_number": "402-334-6025",
            "fax_number": "402-334-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 114",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211",
            "telephone_number": "402-315-3603",
            "fax_number": "402-315-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABVISIONS THERAPY MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "402-334-6025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174344618",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.