NPIMap

Organization Active NPI

Norfolk Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Norfolk, NE
National Provider Identifier
1457664765
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NORFOLK PHYSICAL THERAPY, PC
Practice address
1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone
(402) 371-9707
Fax
(402) 371-9719
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Douglas Junge, PTNPI 1174573620
Title
Owner
Phone
(402) 371-9707

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

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769

Mailing address

1220 W Benjamin Ave
Suite 4
Norfolk, NE 68701-2769
Phone (402) 371-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908001053 NE Part B Supplier - Clinic/Group Practice 9234254657 Receives reassigned benefits from 3 practitioners
Practice locations: Norfolk, NE; Tilden, NE

National Provider Directory

National Provider Directory
Tax ID family
Norfolk Physical Therapy PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1220 W Benjamin Ave
Ste 4
Norfolk, NE 68701
Phone (402) 371-9707

Practitioners & affiliated clinicians

Practitioners 5

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1457664765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W BENJAMIN AVE",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012769",
            "telephone_number": "402-371-9707",
            "fax_number": "402-371-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W BENJAMIN AVE",
            "address_2": "SUITE 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012769",
            "telephone_number": "402-371-9707",
            "fax_number": "402-371-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "JUNGE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-371-9707",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.