Individual provider Active NPI

Alan D Thompson, P.T.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1578610085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2488 Issued in NE
Practice address
6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858
Phone
(402) 483-4709
Fax
(402) 483-4097
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2488 NE Primary

Addresses

Primary practice location

6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858

Mailing address

4451 N 26TH St
Suite 1000
Lincoln, NE 68521-4142
Phone (402) 476-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000631 NE Practitioner - Physical Therapist in Private Practice 2264433499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858
Phone (402) 483-4709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2488NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hickman Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2012 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Coddington Physical Therapy, LLC Physical Therapist PastSince Oct 22, 2012 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist Past Accepting new patients

Locations

18780 S 68th St
Ste A
Hickman, NE 68372
Phone (402) 792-2223

1501 Pine Lake Rd
Ste 20
Lincoln, NE 68512
Phone (402) 421-2700

4451 N 26th St
Ste 1000
Lincoln, NE 68521
Phone (402) 476-2600

6940 Van Dorn St
Ste 103
Lincoln, NE 68506
Phone (402) 483-4709

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578610085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 N 26TH ST",
            "address_2": "SUITE 1000",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214142",
            "telephone_number": "402-476-2600",
            "fax_number": "402-476-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-483-4709",
            "fax_number": "402-483-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.

Verify at the official NPI Registry.