Individual provider Active NPI

Brett C Shipp, DPT

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1699087544
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2883 Issued in NE
Practice address
620 E 25TH St Ste 7
Kearney, NE 68847-5529
Phone
(308) 455-1781
Fax
(308) 455-1782
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2883 NE Primary

Addresses

Primary practice location

620 E 25TH St Ste 7
Kearney, NE 68847-5529

Mailing address

620 E 25TH St Ste 7
Kearney, NE 68847-5529
Phone (308) 455-1781

Other identifiers 1

IdentifierTypeStateIssuer
2883OtherNESTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013001043 NE Practitioner - Physical Therapist in Private Practice 7719179415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 W 33Rd St
Suite a
Kearney, NE 68845-3485
Phone (308) 236-5884

620 E 25TH St
Suite 7
Kearney, NE 68847-5529
Phone (308) 455-1781

905 Main St
Wood River, NE 68883-3108
Phone (308) 583-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center Physical Therapist CurrentSince Jul 1, 2010 Accepting new patients
Family Physical Therapy & Sports Center CurrentSince Jul 1, 2010 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist Past Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist Past Accepting new patients

Locations

601 Highway 6
Ste B
Ashland, NE 68003
Phone (531) 240-4444

913 Village Sq
Gretna, NE 68028
Phone (402) 332-0102

3500 Central Ave
Ste C1
Kearney, NE 68847
Phone (308) 865-9200

615 W 39th St
Ste A
Kearney, NE 68845
Phone (308) 698-2820

620 E 25th St
Ste 7
Kearney, NE 68847
Phone (308) 455-1781

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

110 W 5th St
Lexington, NE 68850
Phone (308) 324-3700

244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500

3901 W Norfolk Ave
Ste P
Norfolk, NE 68701
Phone (402) 371-9026

321 Grand Ave
Ravenna, NE 68869
Phone (308) 452-7154

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1699087544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "BRETT",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2883",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.