Active NPI
Nathaniel J Squier, DPT
- Physical Therapist
- South Sioux City, NE
National Provider Identifier
1700038767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016728
- Practice address
- 3900 Dakota Ave Ste 6
South Sioux City, NE 68776-3696 - Phone
- (402) 494-5173
- Fax
- (402) 494-5151
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070016728 | IL | Primary |
Addresses
Primary practice location
3900 Dakota Ave Ste 6
South Sioux City, NE 68776-3696
Mailing address
3900 Dakota Ave Ste 6
South Sioux City, NE 68776-3696
Phone (402) 494-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3074 | NE | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Physicians & Physical Therapy Clinic PC | Current | Accepting new patients | |
| Premiere Physical Therapy & Sport Rehabilitation | Physical Therapist | Past | Accepting new patients |
Locations
3900 Dakota Ave
Ste 6
South Sioux City, NE 68776
Phone (402) 494-5173
Organizations & group practices 2
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.
-
- Chiropractor
- South Sioux City, NE
- NPI 1114180767
-
- Physical Therapist
- Springfield, IL
- NPI 1477660629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1700038767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE STE 6",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "402-494-5173",
"fax_number": "402-494-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE STE 6",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "402-494-5173",
"fax_number": "402-494-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIER",
"first_name": "NATHANIEL",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
- Jane Marie Snieder, MA, LIMHP, LMHP
- So Sioux City Community Schools
- Claudia Solis-Medina
- Anna Sorenson, PLMHP
- South Sioux City Opco LLC (Adept Nursing & Rehab of South Sioux City)
- St. Luke's Health Resources (St. Luke's Rehab Services)
- Cassi Stark, LIMHP
- Tally Shannon Stark, RP
- Matthew Steele
- Patricia Frances Stein, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.