Justin M. Giambelluca Sr., PTA
Individual provider Active NPI Physical Therapy Assistant · Hooper, NE
NPI 1255535548 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255535548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 400 E Birchwood Dr
Hooper, NE 68031-3002 - Phone
- (402) 654-3362
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | NE | Yes |
Addresses
Primary practice location
400 E Birchwood Dr
Hooper, NE 68031-3002
Mailing address
1001 N 90TH St Apt 8
Omaha, NE 68114-2761
Phone (225) 610-7951
Other providers in Hooper, NE
- Miranda Biekert
- Samantha Cash
- Sheri Elsey
- Franciscan Care Services Inc
- Hooper Health Care, Inc
- Hooper Rural Fire Dist 2
- Jenna Knievel
- Hailey Kay Kraus
- Logan View Public Schools
All providers in Hooper, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.