Organization Active NPI

Your Core and Pelvic Floor Physical Therapy LLC

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1225819857
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YOUR CORE AND PELVIC FLOOR PHYSICAL THERAPY LLC
Practice address
1715 E 47TH Street PL
Kearney, NE 68847-2697
Phone
(308) 520-6032
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Authorized official

Name
Alyssa Moeller, PTNPI 1538577796
Title
Physical Therapist
Phone
(308) 520-6032

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 Primary

Addresses

Primary practice location

1715 E 47TH Street PL
Kearney, NE 68847-2697

Mailing address

1715 E 47TH Street PL
Kearney, NE 68847-2697
Phone (308) 520-6032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113002255 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123475183 Receives reassigned benefits from 1 practitioner
Practice locations: Holdrege, NE; Kearney, NE

National Provider Directory

National Provider Directory

Locations

412 West Ave
Holdrege, NE 68949
Phone (308) 991-6601

416 W 48th St
Ste 28
Kearney, NE 68845
Phone (308) 708-7631

416 W 48th St
Ste 26
Kearney, NE 68845

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1225819857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E 47TH STREET PL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472697",
            "telephone_number": "308-520-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 47TH STREET PL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472697",
            "telephone_number": "308-520-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CORE AND PELVIC FLOOR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "308-520-6032",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.