Polly Elaine Kubik, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1568 Issued in NE

Practice address

5550 S 59 St
#26 Crossroads Physical Therapy
Lincoln, NE 68516

Phone

(402) 420-0800

Fax

(402) 420-0801

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Polly Elaine Anderson Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Empowerme Asl, LLC

  • Multi-Specialty Clinic/Center
  • La Vista, NE
  • NPI 1205425063
  Medicare reassignment Care Compare group
• Crossroads Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lincoln, NE
  • NPI 1144287897
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700914850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S 59",
            "address_2": "#26 CROSSROADS PHYSICAL THERAPY",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-420-0800",
            "fax_number": "402-420-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S 59 ST",
            "address_2": "#26 CROSSROADS PHYSICAL THERAPY",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-420-0800",
            "fax_number": "402-420-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIK",
        "first_name": "POLLY",
        "middle_name": "ELAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLY",
            "last_name": "ANDERSON",
            "middle_name": "ELAINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• KS Old Cheney, LLC
• Eh Kaw Ku
• Say Ku
• Tha Ku
• Erena Christopher Kuanga
• Mercy W Kubuta
• Emma Kucera
• Kami Kucera
• Kathylynn Lynn Kucera
• Megan Rose Kucera

• Physical Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.