Organization Active NPI

The Ambassador Rehab & Wellness Center, Inc.

  • Physical Therapist
  • Nebraska City, NE
National Provider Identifier
1649285578
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE AMBASSADOR REHAB & WELLNESS CENTER, INC.
Practice address
1240 N 19TH St
Ste # 2
Nebraska City, NE 68410-1119
Phone
(402) 873-4838
Fax
(402) 873-4117
NPI assigned
Jul 29, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Timothy J Juilfs
Title
President - Owner
Phone
(402) 873-7791

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1240 N 19TH St
Ste # 2
Nebraska City, NE 68410-1119

Mailing address

1240 N 19TH St
Ste # 2
Nebraska City, NE 68410-1119
Phone (402) 873-4838

Other identifiers 1

IdentifierTypeStateIssuer
0513721MedicaidIA

Other names 1

  • Spectrum Rehabilitation Services, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1240 N 19th St
#2
Nebraska City, NE 68410
Phone (402) 873-4838

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1649285578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N 19TH ST",
            "address_2": "STE # 2",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101119",
            "telephone_number": "402-873-4838",
            "fax_number": "402-873-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N 19TH ST",
            "address_2": "STE # 2",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101119",
            "telephone_number": "402-873-4838",
            "fax_number": "402-873-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMBASSADOR REHAB & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JUILFS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "402-873-7791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513721",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Rehabilitation Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nebraska City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.