Elizabeth Lee Fugitt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4590 Issued in NE

Practice address

Creighton Therapy & Wellness
17055 Frances St, Ste 100
Omaha, NE 68130-4655

Phone

(402) 280-3555

Fax

(402) 280-3557

NPI assigned

Mar 25, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Eliizabeth Lee Fugitt Other name

Medicare fee-for-service enrollment

Enrolled in NE, FL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creighton University

  dba Creighton Therapy and Wellness

  • Physical Therapist
  • Omaha, NE
  • NPI 1780172304
  Medicare reassignment NPD
• St. Pete Physical Therapy

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
  • NPI 1992402846
  Medicare reassignment
• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  NPD (past)
• Creighton University

  dba Creighton University MedIcal Center Clinic Pharmacy

  • Clinic Pharmacy
  • Omaha, NE
  • NPI 1477547347
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1639929649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 FRANCES ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-3555",
            "fax_number": "402-280-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREIGHTON THERAPY & WELLNESS",
            "address_2": "17055 FRANCES ST, STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-3555",
            "fax_number": "402-280-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGITT",
        "first_name": "ELIZABETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-08-20",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIIZABETH",
            "last_name": "FUGITT",
            "middle_name": "LEE",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carie Marie Fuelberth
• Alberto Fuentes
• Kendy Fuentes
• Monica Fuentes
• Natalie Fuentes
• Patricia Fugitt
• Samantha Fugitt
• Kristen Fuglestad Eckmann, PT
• Matthew Anders Fuglestad, M.D.
• Wade Fujiwara

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.