Active NPI
Maggie Fowlkes, PT
- Physical Therapist
- Hastings, NE
National Provider Identifier
1366095457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3954
- Practice address
- 3601 Cimarron PLZ Ste 100
Hastings, NE 68901-2883 - Phone
- (402) 463-2077
- NPI assigned
- Jul 18, 2019
- 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 Therapist | 225100000X | 3954 | NE | Primary |
Addresses
Primary practice location
3601 Cimarron PLZ Ste 100
Hastings, NE 68901-2883
Mailing address
PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853
Other names 1
- Maggie Urbanek
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1366095457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025285",
"telephone_number": "308-675-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CIMARRON PLZ STE 100",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689012883",
"telephone_number": "402-463-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLKES",
"first_name": "MAGGIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "URBANEK",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.