Organization Active NPI

Sue Jeffrey Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Lincoln, NE
National Provider Identifier
1710186044
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
245 Issued in NE
Legal business name
SUE JEFFREY PHYSICAL THERAPY, PC
Practice address
770 N Cotner Blvd
Suite 125
Lincoln, NE 68505-2310
Phone
(402) 464-6141
Fax
(402) 464-6142
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Sue K Jeffrey, PT
Title
President
Phone
(402) 464-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 245 NE Primary

Addresses

Primary practice location

770 N Cotner Blvd
Suite 125
Lincoln, NE 68505-2310

Mailing address

770 N Cotner Blvd
Suite 125
Lincoln, NE 68505-2310
Phone (402) 464-6141

Other identifiers 1

IdentifierTypeStateIssuer
10025099900MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1710186044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD",
            "address_2": "SUITE 125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052310",
            "telephone_number": "402-464-6141",
            "fax_number": "402-464-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD",
            "address_2": "SUITE 125",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052310",
            "telephone_number": "402-464-6141",
            "fax_number": "402-464-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE JEFFREY PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-464-6141",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025099900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.