Organization Active NPI

Seward Physical Therapy Services P.C.

  • Physical Therapist
  • Seward, NE
National Provider Identifier
1386851806
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
758 Issued in NE
Legal business name
SEWARD PHYSICAL THERAPY SERVICES P.C.
Practice address
418 Seward St
Seward, NE 68434-2129
Phone
(402) 643-6111
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Wayne Pomerenke, P.T.
Title
President
Phone
(402) 643-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 758 NE Primary

Addresses

Primary practice location

418 Seward St
Seward, NE 68434-2129

Mailing address

418 Seward St
Seward, NE 68434-2129
Phone (402) 643-6111

Other identifiers 1

IdentifierTypeStateIssuer
099633OtherNEPTAN

National Provider Directory

National Provider Directory

Locations

418 Seward St
Seward, NE 68434
Phone (402) 643-6111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1386851806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SEWARD ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342129",
            "telephone_number": "402-643-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SEWARD ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342129",
            "telephone_number": "402-643-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWARD PHYSICAL THERAPY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "POMERENKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-643-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "099633",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.