Active NPI
Bridget G Bevers, PTA
- Physical Therapy Assistant
- Lincoln, NE
National Provider Identifier
1326246331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 684
- Practice address
- 1001 South St
Lincoln, NE 68502-2251 - Phone
- (615) 896-6400
- Fax
- (615) 896-5177
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 684 | NE | Primary |
Addresses
Primary practice location
1001 South St
Lincoln, NE 68502-2251
Mailing address
2438 Grainger Pkwy
Lincoln, NE 68512-9522
Phone (402) 328-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1326246331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2438 GRAINGER PKWY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685129522",
"telephone_number": "402-328-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685022251",
"telephone_number": "615-896-6400",
"fax_number": "615-896-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERS",
"first_name": "BRIDGET",
"middle_name": "G",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "684",
"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 Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.