Spine & Sports Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPINE & SPORTS PHYSICAL THERAPY LLC

Practice address

4130 Pioneer Woods Dr Ste 3
Lincoln, NE 68506-7552

Phone

(402) 261-6841

Fax

(402) 261-6843

NPI assigned

Jun 6, 2023

Last updated

Jul 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Shunkwiler, DCNPI 1285896456

Title

Owner

Phone

(402) 261-6841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 3

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.

• Kyle Dean Shunkwiler, D.C., M.S.

  • Chiropractor
  • Lincoln, NE
  • NPI 1285896456
  Medicare reassignment NPD Authorized official
• Krista Anne Gipson, PT, DPT, LAT, ATC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1922791615
  Medicare reassignment NPD
• Grant Schultes

  • Physical Therapist
  • Lincoln, NE
  • NPI 1124419130
  Medicare reassignment NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1639863236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-261-6841",
            "fax_number": "402-261-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-261-6841",
            "fax_number": "402-261-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "SHUNKWILER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-261-6841",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Spicka
• Michelle M Spicka, DPT
• Alicia Spilker, MC, LMHP
• Logan Alese Spilker, M.S., CCC-SLP
• Christina Spinazzola
• Spine and Pain Center of Nebraska PC
• Kayla Spirk, RP
• Caroline Spitz
• Patricia J Spitzer, PA-C
• Mary Anne Spivey, M.D.

• Physical Therapy Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapy Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.