Active NPI
Seward Physical Therapy Services P.C.
- Physical Therapist
- Seward, NE
National Provider Identifier
1386851806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 758
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099633 | Other | NE | PTAN |
National Provider Directory
National Provider DirectoryLocations
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.