Abby N Pingel, PTA

Individual provider Active NPI Physical Therapy Assistant · North Bend, NE

NPI 1215202007 · NPPES record last updated May 10, 2012

Key facts

NPI
1215202007
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
004853 (IA)
Practice address
1120 Walnut St
North Bend, NE 68649-5012
Phone
(402) 216-0315
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004853IAMDPhysical Therapy Assistant
1083NEMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1083 NE
Physical Therapy Assistant 225200000X 004853 IA Yes

Addresses

Primary practice location

1120 Walnut St
North Bend, NE 68649-5012

Mailing address

422 11TH Ave W
Spencer, IA 51301-3041
Phone (712) 363-2220

Other providers in North Bend, NE

All providers in North Bend, NE · Physical Therapy Assistant in Nebraska

Sources for this page

Verify at the official NPI Registry.