Community Rehab, Inc
Organization Active NPI Physical Therapist · Plattsmouth, NE
NPI 1376652115 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1376652115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- N/A (NE)
- Legal business name
- COMMUNITY REHAB, INC
- Practice address
- 2380 8TH Ave
Suite 8
Plattsmouth, NE 68048-2367 - Phone
- (402) 296-3433
- Fax
- (402) 296-3531
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary J Theiler, MPT
- Title
- Owner/Physical Therapist
- Phone
- (402) 721-3908
Other NPIs on the same Medicare enrollment 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000486 | NE | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3173428562 |
Receives reassigned benefits from 29 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bellevue, NE; South Sioux City, NE; Plattsmouth, NE; Omaha, NE; La Vista, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | N/A | NE | Yes |
Addresses
Primary practice location
2380 8TH Ave
Suite 8
Plattsmouth, NE 68048-2367
Mailing address
2380 8TH Ave Ste 8
Plattsmouth, NE 68048-2367
Phone (402) 296-3433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193153202 | Other | NE | DOL-OWCP |
| 01805 | Other | NE | BLUE CROSS BLUE SHIELD |
| S561 | Other | NE | MIDLANDS CHOICE |
| 0586339 | Medicaid | IA | |
| 83270 | Other | NE | COVENTRY |
Other names
- Community Rehab
Other providers in Plattsmouth, NE
- Debbie D Chinnow
- Samantha J Christensen
- City of Plattsmouth
- Carol Lee Cloyd
- Dwight Cole
- Comper Care Outpatient Center Inc
- Comper Care Outpatient Center Inc
- Grace Breanne Conner
- Julie Conner
- Stephanie Conover
All providers in Plattsmouth, NE · Physical Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.