Stodden Physical Therapy,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STODDEN PHYSICAL THERAPY,LLC

Practice address

1405 N 205TH St
Suite 140
Elkhorn, NE 68022-4740

Phone

(402) 289-5013

Fax

(402) 289-5018

NPI assigned

Apr 20, 2006

Last updated

May 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike J Stodden, PT

Title

President & Owner

Phone

(402) 289-5013

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Stodden Physical Therapyllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Stodden Physcial Therapy,L.L.C.

  • Physical Therapist
  • Bennington, NE
  • NPI 1063867984
  NPD tax ID
• Stodden Physical Therapy,LLC

  • Specialist
  • Gretna, NE
  • NPI 1013031285
  NPD tax ID

Practitioners 1

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.

• Shelley Lynn Vanackeren

  • Physical Therapy Assistant
  • Elkhorn, NE
  • NPI 1699915165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1336104413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N 205TH ST",
            "address_2": "SUITE 140",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224740",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N 205TH ST",
            "address_2": "SUITE 140",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224740",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STODDEN PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "STODDEN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "402-289-5013",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "216813",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025112300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steskal Chiropractic L.L.C.
• Richard Chad Steskal, D.C.
• Jadie Stevens
• Ashley Stewart
• Stephen Stinn, DC
• Michael Stodden, PT
• Lora K Streiff
• Marissa Strickler
• Madaline Rose Suggs
• Enosakhare Brenda Sule

• Physical Therapist in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.