NPIMap

Organization Active NPI

Pacific Springs Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Omaha, NE
National Provider Identifier
1417968645
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1964 Issued in NE
Legal business name
PACIFIC SPRINGS PHYSICAL THERAPY, PC
Practice address
1021 S 178TH Street
Omaha, NE 68118
Phone
(402) 933-3036
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Miss Krisit Marie Heine, MSPT
Title
Owner
Phone
(402) 933-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 1964 NE Primary

Addresses

Primary practice location

1021 S 178TH Street
Omaha, NE 68118

Mailing address

7123 N 121St St
Omaha, NE 68142-1675
Phone (402) 201-3707

National Provider Directory

National Provider Directory

Locations

1021 S 178th St
Omaha, NE 68118
Phone (402) 933-3036

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1417968645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7123 N 121ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681421675",
            "telephone_number": "402-201-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 178TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68118",
            "telephone_number": "402-933-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPRINGS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KRISIT",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-933-3036",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.