Active NPI
Rathjen Physical Therapy LLC
- Specialist
- Grand Island, NE
National Provider Identifier
1366452542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- RATHJEN PHYSICAL THERAPY LLC
- Practice address
- 3213 W. North Front Street
Grand Island, NE 68803-4028 - Phone
- (308) 381-2424
- Fax
- (308) 381-3646
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Lynn Rathjen, PT
- Title
- Owner/Physical Therapist
- Phone
- (308) 381-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3213 W. North Front Street
Grand Island, NE 68803-4028
Mailing address
3213 W. North Front Street
Grand Island, NE 68803-4028
Phone (308) 381-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025243900 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
3213 W North Front St
Grand Island, NE 68803
Phone (308) 381-2424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Grand Island, NE
- NPI 1225048499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679011200000",
"number": "1366452542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 W. NORTH FRONT STREET",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034028",
"telephone_number": "308-381-2424",
"fax_number": "308-381-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 W. NORTH FRONT STREET",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034028",
"telephone_number": "308-381-2424",
"fax_number": "308-381-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RATHJEN PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A",
"authorized_official_last_name": "RATHJEN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "308-381-2424",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025243900",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.