NPIMap

Organization Active NPI

Community Rehab, Inc

Doing business as Community Rehab

  • Physical Therapist
  • La Vista, NE
National Provider Identifier
1669581401
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
N/A Issued in NE
Legal business name
COMMUNITY REHAB, INC
Doing business as
Community Rehab
Practice address
8002 S 84TH St
Suite 1
Lavista, NE 68128-3302
Phone
(402) 331-6444
Fax
(402) 331-9080
NPI assigned
Aug 29, 2006
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mary J Theiler, MPTNPI 1497737712
Title
Owner/Physical Therapist
Phone
(402) 721-3908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X N/A NE Primary

Addresses

Primary practice location

8002 S 84TH St
Suite 1
Lavista, NE 68128-3302

Mailing address

8002 S 84TH St Ste 1
Lavista, NE 68128-3302
Phone (402) 331-6444

Other identifiers 6

IdentifierTypeStateIssuer
S561OtherNEMIDLANDS CHOICE
0586339MedicaidIA
01805OtherNEBLUE CROSS BLUE SHIELD
6400076MedicaidNE
193153201OtherNEDOL-OWCP
83270OtherNECOVENTRY

Other names 1

  • Community Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1408 Veterans Dr
Ste 102
Elkhorn, NE 68022
Phone (402) 289-3288

8002 S 84th St
Ste 1
Lavista, NE 68128
Phone (402) 331-6444

Practitioners & affiliated clinicians

Practitioners 2

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1669581401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 S 84TH ST STE 1",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681283302",
            "telephone_number": "402-331-6444",
            "fax_number": "402-331-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 S 84TH ST",
            "address_2": "SUITE 1",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681283302",
            "telephone_number": "402-331-6444",
            "fax_number": "402-331-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "THEILER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-721-3908",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "S561",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586339",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01805",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6400076",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL-OWCP",
            "identifier": "193153201",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "83270",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.