East & West Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1261 Issued in NE

Legal business name

EAST & WEST PHYSICAL THERAPY LLC

Practice address

2919 S 120TH St
Omaha, NE 68144-4310

Phone

(402) 504-3535

Fax

(402) 934-3866

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Hossam El-RefaieNPI 1386817138

Title

Physiotherapist

Phone

(402) 504-3535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

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

• Hossam A El Refaie

  • Physical Therapist
  • Omaha, NE
  • NPI 1386817138
  Medicare reassignment NPD Authorized official
• Michelle Lynn Mikuls, P.T.

  • Physical Therapist
  • Omaha, NE
  • NPI 1164731790
  NPD (past)
• Matthew D. Skaff, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1740316538
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1508944638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444310",
            "telephone_number": "402-504-3535",
            "fax_number": "402-934-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444310",
            "telephone_number": "402-504-3535",
            "fax_number": "402-934-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST & WEST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "EL-REFAIE",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_title_or_position": "PHYSIOTHERAPIST",
        "authorized_official_telephone_number": "402-504-3535"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur R Easley, MD
• Elizabeth Easley, APRN BC
• Jay Alan Eason, LADC,PMSW,PMHP,ACADC
• Mozella Shonella Eason
• Raelynn Eason
• Camille Elizabeth Easter
• Gwendolyn A. Easter
• Lisa Easter
• Jerry Easterday, M.D.
• Stephanie Deshaun Easterling

• Physical Therapy Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapy Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.