Active NPI
Eugene Allen Parks, PT
- Physical Therapist
- Hastings, NE
National Provider Identifier
1225045263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 387
- Practice address
- 207 S Burlington Ave
Hastings, NE 68901-5905 - Phone
- (402) 462-8824
- Fax
- (402) 462-8017
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 387 | NE | Primary |
Addresses
Primary practice location
207 S Burlington Ave
Hastings, NE 68901-5905
Mailing address
207 S Burlington Ave
Hastings, NE 68901-5905
Phone (402) 462-8824
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8790 | Other | NE | BLUE CROSS BLUE SHIELD |
| 60146354 | Other | ARBOR HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 387 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1225045263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S BURLINGTON AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689015905",
"telephone_number": "402-462-8824",
"fax_number": "402-462-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S BURLINGTON AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689015905",
"telephone_number": "402-462-8824",
"fax_number": "402-462-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "EUGENE",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8790",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARBOR HEALTH",
"identifier": "60146354",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.