Individual provider Active NPI

Sean M Vonderfecht, PT

  • Orthopedic Physical Therapist
  • Hastings, NE
National Provider Identifier
1497820567
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1893 Issued in NE
Practice address
223 E 14TH St Ste 40
Hastings, NE 68901-3240
Phone
(402) 462-2665
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1893 NE Primary

Addresses

Primary practice location

223 E 14TH St Ste 40
Hastings, NE 68901-3240

Mailing address

223 E 14TH St Ste 40
Hastings, NE 68901-3240
Phone (402) 462-2665

Other identifiers 1

IdentifierTypeStateIssuer
39676OtherNEBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000239 NE Practitioner - Physical Therapist in Private Practice 1557412897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hastings Physical TherapyGroup PAC ID 7810968609, 8 clinicians

Practice addresses (Care Compare)

2307 Osborne Dr W
Hastings Physical Therapy PC
Hastings, NE 68901-9116
Phone (402) 462-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Physical Therapy CurrentSince Mar 31, 2003 Accepting new patients
Hastings Physical Therapy Orthopedic CurrentSince Mar 31, 2003 Accepting new patients
Live Well Physical Therapy Past Accepting new patients

Locations

3213 W North Front St
Grand Island, NE 68803
Phone (308) 381-2424

2307 Osborne Dr W
Hastings, NE 68901
Phone (402) 462-2665

223 E 14th St
Ste 40
Hastings, NE 68901
Phone (402) 462-2662

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1497820567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST STE 40",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013240",
            "telephone_number": "402-462-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST STE 40",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013240",
            "telephone_number": "402-462-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERFECHT",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "39676",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.