Haley Elizabeth Bidroski, D.P.T.

Individual provider Active NPI Physical Therapist · Columbus, NE

NPI 1710110705 · NPPES record last updated Nov 9, 2009

Key facts

NPI
1710110705
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2739 (NE)
Practice address
4600 38TH St
Columbus, NE 68601-1664
Phone
(402) 562-3333
Fax
(402) 562-3334
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2739 NE Yes

Addresses

Primary practice location

4600 38TH St
Columbus, NE 68601-1664

Mailing address

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 562-3333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2009.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1710110705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011664",
            "telephone_number": "402-562-3333",
            "fax_number": "402-562-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011664",
            "telephone_number": "402-562-3333",
            "fax_number": "402-562-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDROSKI",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

All providers in Columbus, NE · Physical Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.