Organization Active NPI

Thygesen Physical Therapy, P.C.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1184890675
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1722 Issued in NE
Legal business name
THYGESEN PHYSICAL THERAPY, P.C.
Practice address
5955 S 56TH St
Suite One
Lincoln, NE 68516-3391
Phone
(402) 423-7878
Fax
(402) 423-0272
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Mr. Paul A Thygesen, PTNPI 1851452973
Title
Physical Therapist
Phone
(402) 423-7878

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1722 NE Primary

Addresses

Primary practice location

5955 S 56TH St
Suite One
Lincoln, NE 68516-3391

Mailing address

5955 S 56TH St
Suite One
Lincoln, NE 68516-3391
Phone (402) 423-7878

Other identifiers 1

IdentifierTypeStateIssuer
10025615300MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000080 NE Part B Supplier - Clinic/Group Practice 1254400559 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

5955 S 56th St
Ste 1
Lincoln, NE 68516
Phone (402) 423-7878

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1184890675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 S 56TH ST",
            "address_2": "SUITE ONE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163391",
            "telephone_number": "402-423-7878",
            "fax_number": "402-423-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 S 56TH ST",
            "address_2": "SUITE ONE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163391",
            "telephone_number": "402-423-7878",
            "fax_number": "402-423-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THYGESEN PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "THYGESEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-423-7878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025615300",
            "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 19, 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.