Organization Active NPI

Medlink Companion, LLC

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1679855027
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1401 Issued in NE
Legal business name
MEDLINK COMPANION, LLC
Practice address
10730 Pacific St
Ste 210
Omaha, NE 68114-4799
Phone
(402) 753-7230
Fax
(402) 932-4926
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Lizabeth Gastali, PT
Title
Owner
Phone
(402) 850-5761

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1401 NE Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

10730 Pacific St
Ste 210
Omaha, NE 68114-4799

Mailing address

10730 Pacific St
Ste 210
Omaha, NE 68114-4799
Phone (402) 753-7230

National Provider Directory

National Provider Directory

Locations

10730 Pacific St
Ste 210
Omaha, NE 68114
Phone (402) 201-5224

Practitioners & affiliated clinicians

Practitioners 10

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": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1679855027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 PACIFIC ST",
            "address_2": "STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144799",
            "telephone_number": "402-753-7230",
            "fax_number": "402-932-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 PACIFIC ST",
            "address_2": "STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144799",
            "telephone_number": "402-753-7230",
            "fax_number": "402-932-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK COMPANION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "GASTALI",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-850-5761",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1401",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [],
    "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 Oct 20, 2011; 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.