NPIMap

Organization Active NPI

Summit Health Physical Therapy PC

  • Physical Therapist
  • Springfield, NE
National Provider Identifier
1538477807
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2156 Issued in NE
Legal business name
SUMMIT HEALTH PHYSICAL THERAPY PC
Practice address
880 Park Drive
Springfield, NE 68059-6845
Phone
(402) 253-3079
Fax
(402) 253-2631
NPI assigned
Sep 20, 2010
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Christopher Carl Noda, PT, DPTNPI 1588860886
Title
President
Phone
(402) 253-3079

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 Therapist 225100000X 2156 NE Primary

Addresses

Primary practice location

880 Park Drive
Springfield, NE 68059-6845

Mailing address

880 Park Drive
Springfield, NE 68059-6845
Phone (402) 253-3079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000752 NE Part B Supplier - Clinic/Group Practice 9537351929 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, NE

National Provider Directory

National Provider Directory

Locations

870 Park Dr
Springfield, NE 68059
Phone (402) 253-3079

880 Park Dr
Springfield, NE 68059
Phone (402) 253-3079

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1538477807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PARK DRIVE",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680596845",
            "telephone_number": "402-253-3079",
            "fax_number": "402-253-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PARK DRIVE",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680596845",
            "telephone_number": "402-253-3079",
            "fax_number": "402-253-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "NODA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-253-3079",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.