NPIMap

Organization Active NPI

Lincoln Orthopedic Physical Therapy PC

Doing business as Lincoln Orthopedic Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
National Provider Identifier
1568837482
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LINCOLN ORTHOPEDIC PHYSICAL THERAPY PC
Doing business as
Lincoln Orthopedic Physical Therapy
Practice address
4920 N 26TH St Ste 100
Lincoln, NE 68521-4748
Phone
(402) 434-5361
NPI assigned
Dec 3, 2015
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LINCOLN ORTHOPEDIC PHYSICAL THERAPY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Benjamin Dewaard Jr.NPI 1356392849
Title
Owner
Phone
(402) 484-7117

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4920 N 26TH St Ste 100
Lincoln, NE 68521-4748

Mailing address

1651 N 86TH St
Ste 100
Lincoln, NE 68505-3719
Phone (402) 484-7117

Other names 1

  • LINCOLN ORTHOPEDIC PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190219001806 NE DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 8729074166 Practice locations: Lincoln, NE

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Lincoln Orthopedic PT PC

Locations

705 N 17th Ave
Ste 2
Ashland, NE 68003
Phone (402) 944-2201

1501 N 86th St
Lincoln, NE 68505
Phone (402) 434-5361

1900 K St
Ste 170
Lincoln, NE 68510
Phone (531) 204-8810

2550 Superior St
Ste 160
Lincoln, NE 68521
Phone (402) 742-7400

2801 Pine Lake Rd
Ste K
Lincoln, NE 68516
Phone (402) 436-2535

345 Speedway Cir
Ste 3
Lincoln, NE 68502
Phone (531) 500-4779

4535 Normal Blvd
#135
Lincoln, NE 68506
Phone (402) 840-0402

4640 Champlain Dr
Ste 109
Lincoln, NE 68521
Phone (402) 420-2626

5353 N 27th St
Lincoln, NE 68521
Phone (402) 476-5353

6900 A St
Ste 102
Lincoln, NE 68510
Phone (402) 436-2535

8320 Northwoods Dr
#104
Lincoln, NE 68505
Phone (402) 484-7117

9990 S 34th St
Ste 100
Lincoln, NE 68516
Phone (531) 214-4927

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1568837482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N 86TH ST",
            "address_2": "STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053719",
            "telephone_number": "402-484-7117",
            "fax_number": "402-484-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N 26TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214748",
            "telephone_number": "402-434-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN ORTHOPEDIC PHYSICAL THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN ORTHOPEDIC PHYSICAL THERAPY PC",
        "enumeration_date": "2015-12-03",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "DEWAARD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-484-7117",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN ORTHOPEDIC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.