Active NPI
Andrew Donald Miner
- Physical Therapist
- Nebraska City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- NE3106
- Practice address
- 1104 Grundman Blvd
Nebraska City, NE 68410-3397 - Phone
- (402) 873-7411
- NPI assigned
- Jul 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NE3106 | NE | Primary |
Addresses
Primary practice location
1104 Grundman Blvd
Nebraska City, NE 68410-3397
Mailing address
2030 Rainbow Ave
Seward, NE 68434-3000
Phone (402) 643-0711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA1822004 | Other | NE | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 Bradford St
Suite B
Seward, NE 68434-1709
Phone (402) 646-2007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3106 | NE | MD | General Practice Physician |
| NE3106 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska City Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6319 Havelock Ave
Lincoln, NE 68507
Phone (402) 325-0044
3818 Normal Blvd
Lincoln, NE 68506
Phone (402) 488-4282
1104 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 873-7411
510 Bradford St
Ste B
Seward, NE 68434
Phone (402) 646-2007
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Nebraska City, NE
- NPI 1437453164
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1548515919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 RAINBOW AVE",
"city": "SEWARD",
"state": "NE",
"postal_code": "684343000",
"telephone_number": "402-643-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 GRUNDMAN BLVD",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684103397",
"telephone_number": "402-873-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "ANDREW",
"middle_name": "DONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-20",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "NE3106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NA1822004",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nebraska City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.