Active NPI
Charles Gregory Limbach, MA, ATC
- Athletic Trainer
- Kearney, NE
National Provider Identifier
1376737999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 20
- Practice address
- 3207 12TH Ave
Kearney, NE 68845-3339 - Phone
- (308) 236-5703
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 20 | NE | Primary |
Addresses
Primary practice location
3207 12TH Ave
Kearney, NE 68845-3339
Mailing address
3207 12TH Ave
Kearney, NE 68845-3339
Phone (308) 236-5703
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20 | NE | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1376737999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 12TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688453339",
"telephone_number": "308-236-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 12TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688453339",
"telephone_number": "308-236-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMBACH",
"first_name": "CHARLES",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "MA, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.