Individual provider Active NPI

Douglas D Ehlers, PT

  • Physical Therapist
  • Minden, NE
National Provider Identifier
1205013398
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1070 Issued in NE
Practice address
244 N Minden Ave
Minden, NE 68959-1643
Phone
(308) 832-1500
Fax
(308) 832-1551
NPI assigned
Jan 30, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1070 NE Primary

Addresses

Primary practice location

244 N Minden Ave
Minden, NE 68959-1643

Mailing address

244 N Minden Ave
Minden, NE 68959-1643
Phone (308) 832-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000144 NE Practitioner - Physical Therapist in Private Practice 6406920156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1070NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince May 19, 2008 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist CurrentSince May 19, 2008 Accepting new patients

Locations

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1205013398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591643",
            "telephone_number": "308-832-1500",
            "fax_number": "308-832-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591643",
            "telephone_number": "308-832-1500",
            "fax_number": "308-832-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.