NPIMap

Organization Active NPI

Achieve PC

  • Physical Therapist
  • Bellevue, NE
National Provider Identifier
1306824867
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2354 Issued in NE
Legal business name
ACHIEVE PC
Practice address
11511 S 42ND St Ste 106
Bellevue, NE 68123-1089
Phone
(402) 502-4678
Fax
(402) 933-9137
NPI assigned
Jan 5, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brian Michael Inselman, DPTNPI 1538147095
Title
President
Phone
(402) 502-4678

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 Therapist 225100000X 2354 NE Primary

Addresses

Primary practice location

11511 S 42ND St Ste 106
Bellevue, NE 68123-1089

Mailing address

11511 S 42ND St
Ste 106
Bellevue, NE 68123-1000
Phone (402) 502-4678

Other identifiers 1

IdentifierTypeStateIssuer
F248744OtherNEMIDLANDS CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170403002481 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406881127 Receives reassigned benefits from 7 practitioners
Practice locations: Bellevue, NE

National Provider Directory

National Provider Directory

Locations

11511 S 42nd St
Ste 106
Bellevue, NE 68123
Phone (402) 502-4678

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306824867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 S 42ND ST",
            "address_2": "STE 106",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231000",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 S 42ND ST STE 106",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231089",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "INSELMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-502-4678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F248744",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.