Active NPI
Performance Physical Therapy, P.C.
- Physical Therapist
- Bennington, NE
National Provider Identifier
1275511743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2019
- Legal business name
- PERFORMANCE PHYSICAL THERAPY, P.C.
- Practice address
- 15767 C W Hadan Dr
Bennington, NE 68007-2015 - Phone
- (402) 238-2552
- Fax
- (402) 238-2662
- NPI assigned
- Jan 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa M. Kramer, P.T.
- Title
- President
- Phone
- (402) 238-2552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2019 | NE | Primary |
Addresses
Primary practice location
15767 C W Hadan Dr
Bennington, NE 68007-2015
Mailing address
15767 C W Hadan Dr
Bennington, NE 68007-2015
Phone (402) 238-2552
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100252324-00 | Medicaid | NE | |
| 5633761 | Other | NE | FIRST HEALTH |
| 02011 | Other | NE | BLUE CROSS BLUE SHIELD |
| F246962 | Other | NE | MIDLANDS CHOICE |
National Provider Directory
National Provider DirectoryLocations
15767 Hadan Dr
Bennington, NE 68007
Phone (402) 238-2552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275511743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15767 C W HADAN DR",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680072015",
"telephone_number": "402-238-2552",
"fax_number": "402-238-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15767 C W HADAN DR",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680072015",
"telephone_number": "402-238-2552",
"fax_number": "402-238-2662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRAMER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-238-2552",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NE",
"license": "2019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100252324-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5633761",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02011",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F246962",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.