Denise McClurg, CPTA
Individual provider Active NPI Physical Therapy Assistant · Superior, NE
NPI 1548092372 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1548092372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 763 (NE)
- Practice address
- PO Box 263
Superior, NE 68978-0263 - Phone
- (402) 879-1267
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02491 | KS | MD | Physical Therapy Assistant |
| 763 | NE | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Physical Therapy LLC | Past |
Accepting new patients | |
| Pivotal Health & Wellness Inc | Past |
Accepting new patients | |
| Great Plains of Republic Co., Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02491 | KS | |
| Physical Therapy Assistant | 225200000X | 763 | NE | Yes |
Addresses
Primary practice location
PO Box 263
Superior, NE 68978-0263
Mailing address
PO Box 263
Superior, NE 68978-0263
Phone (402) 879-1267
Other practice location 1
314 Main St
Courtland, KS 66939-3024
Phone (785) 955-0670
Other providers in Superior, NE
- Robert G Leibel
- Kinsley Mankhey
- Sandra Martin
- Angela Marvin
- Keidra Matthews
- Lynette McCutcheon
- Jeremy W McMeen
- Megan Karee McMeen
- Semone Menter
- Peggy Ann Meyer
All providers in Superior, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.