Go Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1616 Issued in NE

Legal business name

GO PHYSICAL THERAPY, P.C.

Practice address

18101 R PLZ
Suite 106
Omaha, NE 68135-1928

Phone

(402) 933-8333

Fax

(402) 933-4755

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Lee Brunken, P.T.NPI 1548266943

Title

President/Physical Therapist

Phone

(402) 933-8333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brian Brunken, PT

  • Orthopedic Physical Therapist
  • Omaha, NE
  • NPI 1548266943
  NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1508871179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 R PLZ",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351928",
            "telephone_number": "402-933-8333",
            "fax_number": "402-933-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 R PLZ",
            "address_2": "SUITE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351928",
            "telephone_number": "402-933-8333",
            "fax_number": "402-933-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "BRUNKEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-933-8333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025395000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Gniffke, CRNA
• Ahoefa Gniningan
• Alougba Gnonse-Padonou
• Komlan Gnronfou-Hovor
• Matthew W Gnuse, DPT
• Charito Chua Go, M.D.
• Rodolf Anthony Magkalas Go
• Angelina Nyagara Goadeet
• Tristan Goatcher
• Rick Gobble

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.