NPIMap

Organization Active NPI

C.O.R.E. Physical Therapy and Sports Performance PC

  • Orthopedic Physical Therapist
  • Omaha, NE
National Provider Identifier
1659742047
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2675 Issued in NE
Legal business name
C.O.R.E. PHYSICAL THERAPY AND SPORTS PERFORMANCE PC
Practice address
17660 Wright St # St910
Omaha, NE 68130-2102
Phone
(402) 933-4027
Fax
(402) 933-5027
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Dr. Claire R Rathjen, DPT
Title
Doctor of Physical Therapy
Phone
(402) 933-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 2675 NE Primary

Addresses

Primary practice location

17660 Wright St # St910
Omaha, NE 68130-2102

Mailing address

17660 Wright St Ste 9And10
Omaha, NE 68130-2102
Phone (402) 933-4027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129001746 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698078350 Receives reassigned benefits from 5 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

17660 Wright St
Ste 910
Omaha, NE 68130
Phone (402) 933-4027

17660 Wright St
Ste 10
Omaha, NE 68130

17660 Wright St
#910
Omaha, NE 68130
Phone (402) 933-4027

17660 Wright St
Ste 9
Omaha, NE 68130
Phone (402) 933-4027

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1659742047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 WRIGHT ST STE 9AND10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302102",
            "telephone_number": "402-933-4027",
            "fax_number": "402-933-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 WRIGHT ST # ST910",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302102",
            "telephone_number": "402-933-4027",
            "fax_number": "402-933-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.O.R.E. PHYSICAL THERAPY AND SPORTS PERFORMANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "RATHJEN",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "402-933-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.