Individual provider Active NPI

Eric J Pinkall, MPT

  • Physical Therapist
  • Papillion, NE
National Provider Identifier
1386835221
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1150 Issued in NE
Practice address
11336 S 96TH St Ste 114
Papillion, NE 68046-4211
Phone
(402) 315-3603
Fax
(402) 315-3604
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 1150 NE Primary

Addresses

Primary practice location

11336 S 96TH St Ste 114
Papillion, NE 68046-4211

Mailing address

11336 S 96TH St Ste 114
Papillion, NE 68046-4211
Phone (402) 315-3603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000153 NE Practitioner - Physical Therapist in Private Practice 4183771652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1150NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Edge, Inc Physical Therapist CurrentSince Feb 17, 2014 Accepting new patients
Rehabvisions Therapy Mo LLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Specialized Physical Therapy Past Accepting new patients
Specialized Physical Therapy, P.C. Physical Therapist PastSince Jun 1, 2008 Accepting new patients

Locations

11336 S 96th St
Ste 114
Papillion, NE 68046
Phone (402) 315-3603

Organizations & group practices 4

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1386835221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 114",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211",
            "telephone_number": "402-315-3603",
            "fax_number": "402-315-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 114",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211",
            "telephone_number": "402-315-3603",
            "fax_number": "402-315-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKALL",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.