Active NPI
Holdrege Physical Therapy and Sports Rehab
- Physical Therapist
- Holdrege, NE
National Provider Identifier
1508586538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HOLDREGE PHYSICAL THERAPY AND SPORTS REHAB
- Practice address
- 701 4TH Ave Ste 1
Holdrege, NE 68949-2255 - Phone
- (308) 248-0303
- Fax
- (308) 248-0304
- NPI assigned
- Aug 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Smith, DPT
- Title
- Physical Therapist
- Phone
- (308) 248-0303
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
701 4TH Ave Ste 1
Holdrege, NE 68949-2255
Mailing address
701 4TH Ave Ste 1
Holdrege, NE 68949-2255
Phone (308) 248-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
701 4th Ave
Holdrege, NE 68949
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Holdrege, NE
- NPI 1780058693
-
- Occupational Therapist
- Holdrege, NE
- NPI 1538476478
-
- Physical Therapist
- Holdrege, NE
- NPI 1568691368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1508586538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 4TH AVE STE 1",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492255",
"telephone_number": "308-248-0303",
"fax_number": "308-248-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 4TH AVE STE 1",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492255",
"telephone_number": "308-248-0303",
"fax_number": "308-248-0304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLDREGE PHYSICAL THERAPY AND SPORTS REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-28",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "308-248-0303",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.