Gretna Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

753 Issued in NE

Legal business name

GRETNA PHYSICAL THERAPY, PC

Practice address

720 N Highway 6
Gretna, NE 68028-7950

Phone

(402) 332-3773

Fax

(402) 332-2939

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Barton Donelan, PT

Title

President

Phone

(402) 332-3773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679696199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N HIGHWAY 6",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287950",
            "telephone_number": "402-332-3773",
            "fax_number": "402-332-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N HIGHWAY 6",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287950",
            "telephone_number": "402-332-3773",
            "fax_number": "402-332-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETNA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONELAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-332-3773",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gretna, NE
• Providers in Gretna, 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 22, 2020; 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.