NPIMap

Organization Active NPI

Proformance Physical Therapy and Sports Rehab, P.C.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1225082480
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROFORMANCE PHYSICAL THERAPY AND SPORTS REHAB, P.C.
Practice address
4220 Lucile Dr Ste 3
Lincoln, NE 68506-6004
Phone
(402) 327-9000
Fax
(402) 327-9003
NPI assigned
May 20, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Kayla Hughes
Title
Office Manager
Phone
(402) 327-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4220 Lucile Dr Ste 3
Lincoln, NE 68506-6004

Mailing address

4220 Lucile Dr Ste 3
Lincoln, NE 68506-6004
Phone (402) 327-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000556 NE Part B Supplier - Clinic/Group Practice 7911900071 Receives reassigned benefits from 6 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

4220 Lucile Dr
Lincoln, NE 68506
Phone (402) 421-1411

4220 Lucile Dr
Ste 3
Lincoln, NE 68506
Phone (402) 327-9000

4525 S 86th St
Ste B
Lincoln, NE 68526
Phone (402) 483-7507

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1225082480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 LUCILE DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066004",
            "telephone_number": "402-327-9000",
            "fax_number": "402-327-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 LUCILE DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066004",
            "telephone_number": "402-327-9000",
            "fax_number": "402-327-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFORMANCE PHYSICAL THERAPY AND SPORTS REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-327-9000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 12, 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.