Individual provider Active NPI

Ryan Schneider, PT, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1346913431
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4255 Issued in NE
Practice address
6319 Havelock Avenue
Lincoln, NE 68507
Phone
(402) 325-0044
NPI assigned
Jul 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4255 NE Primary

Addresses

Primary practice location

6319 Havelock Avenue
Lincoln, NE 68507

Mailing address

6319 Havelock Avenue
Lincoln, NE 68507
Phone (402) 325-0044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811003055 NE Practitioner - Physical Therapist in Private Practice 4284038365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska City Physical Therapy LLCGroup PAC ID 4486836301, 12 clinicians

Practice addresses (Care Compare)

6319 Havelock Ave
Lincoln, NE 68507-1328
Phone (402) 325-0044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4255NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska City Physical Therapy, LLC Physical Therapist CurrentSince Jul 26, 2021 Accepting new patients
Havelock Physical Therapy LLC Physical Therapist CurrentSince Jul 26, 2021 Accepting new patients

Locations

6319 Havelock Ave
Lincoln, NE 68507
Phone (402) 325-0044

3818 Normal Blvd
Lincoln, NE 68506
Phone (402) 488-4282

1104 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 873-7411

510 Bradford St
Ste B
Seward, NE 68434
Phone (402) 646-2007

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1346913431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 HAVELOCK AVENUE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68507",
            "telephone_number": "402-325-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 HAVELOCK AVENUE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68507",
            "telephone_number": "402-325-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4255",
            "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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.