NPIMap

Organization Active NPI

Family Physical Therapy & Sports Center

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1407038375
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FAMILY PHYSICAL THERAPY & SPORTS CENTER
Practice address
615 W 39TH St
Suite a
Kearney, NE 68845-8001
Phone
(308) 698-2820
Fax
(308) 698-2822
NPI assigned
Dec 3, 2007
Organization subpart
Yes
Parent organization
FAMILY PHYSICAL THERAPY & SPORTS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Marg Ortegren
Title
Office Manager
Phone
(308) 698-2820

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

615 W 39TH St
Suite a
Kearney, NE 68845-8001

Mailing address

615 W 39TH St
Suite a
Kearney, NE 68845-8001
Phone (308) 698-2820

National Provider Directory

National Provider Directory
Tax ID family
Family PT Sports Center3 organizations share this tax ID, including this one
Part of
Family PT Sports Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407038375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458001",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458001",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL THERAPY & SPORTS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PHYSICAL THERAPY & SPORTS CENTER",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ORTEGREN",
        "authorized_official_first_name": "MARG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-698-2820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 20, 2008; 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.