Organization Active NPI

Premier Therapy Associates, PC

  • Physical Therapy Clinic/Center
  • Omaha, NE
National Provider Identifier
1437225000
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PREMIER THERAPY ASSOCIATES, PC
Practice address
1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone
(402) 933-0100
Fax
(402) 933-0200
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Dr. Jennifer L Beran, PTNPI 1801820766
Title
Co-Owner
Phone
(402) 933-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1313 S Saddle Creek Rd
Omaha, NE 68106-2402

Mailing address

1313 S Saddle Creek Rd
Omaha, NE 68106-2402
Phone (402) 933-0100

Other identifiers 1

IdentifierTypeStateIssuer
10025334600MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Premier Therapy Associate2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1437225000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100",
            "fax_number": "402-933-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S SADDLE CREEK RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062402",
            "telephone_number": "402-933-0100",
            "fax_number": "402-933-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "BERAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-933-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025334600",
            "state": "NE"
        }
    ],
    "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 Oct 2, 2009; 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.