Active NPI
Jill Ann Glover, P.T.
- Physical Therapist
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 694
- Practice address
- 22117 Stanford Cir
Elkhorn, NE 68022-2272 - Phone
- (402) 250-3789
- NPI assigned
- Feb 6, 2007
- Last updated
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Physical Therapist | 225100000X | 694 | NE | Primary |
Addresses
Primary practice location
22117 Stanford Cir
Elkhorn, NE 68022-2272
Mailing address
22117 Stanford Cir
Elkhorn, NE 68022-2272
Phone (402) 250-3789
Other practice location 1
16003 Josephine St
Omaha, NE 68136-1052
Phone (402) 650-2070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | NE | |
| 47070762200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxability Therapy Services, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
1001 Fort Crook Rd N
Ste 202
Bellevue, NE 68005
Phone (402) 391-5002
10909 Mill Valley Rd
Ste 210
Omaha, NE 68154
Phone (402) 391-5002
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Omaha, NE
- NPI 1811100605
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1558401166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22117 STANFORD CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222272",
"telephone_number": "402-250-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22117 STANFORD CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222272",
"telephone_number": "402-250-3789"
}
],
"practiceLocations": [
{
"address_1": "16003 Josephine St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681361052",
"country_code": "US",
"telephone_number": "402-650-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOVER",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070762200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.