NPIMap

Organization Active NPI

Physical Therapy Solutions, PC

  • Physical Therapy Clinic/Center
  • Lincoln, NE
National Provider Identifier
1730236118
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY SOLUTIONS, PC
Practice address
2130 S 17TH St
Suite 200
Lincoln, NE 68502-3750
Phone
(402) 476-6575
Fax
(402) 476-6576
NPI assigned
Jan 5, 2007
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Eric Jason Bjorkman, PTNPI 1841373016
Title
President
Phone
(402) 476-6575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2130 S 17TH St
Suite 200
Lincoln, NE 68502-3750

Mailing address

2130 S 17TH St
Suite 200
Lincoln, NE 68502-3750
Phone (402) 476-6575

Other practice location 1

770 N Cotner Blvd Ste 125
Lincoln, NE 68505-2377
Phone (402) 464-6141

Other identifiers 2

IdentifierTypeStateIssuer
DE7140OtherNEPALMETTO GBA GROUP ID
10025409200MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051216000585 NE Part B Supplier - Clinic/Group Practice 9133140130 Receives reassigned benefits from 7 practitioners
Practice locations: Lincoln, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Fyzical Therapy and Balance Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1730236118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 S 17TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023750",
            "telephone_number": "402-476-6575",
            "fax_number": "402-476-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S 17TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023750",
            "telephone_number": "402-476-6575",
            "fax_number": "402-476-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 N Cotner Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685052377",
            "country_code": "US",
            "telephone_number": "402-464-6141",
            "fax_number": "402-464-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BJORKMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-476-6575",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP ID",
            "identifier": "DE7140",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025409200",
            "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 Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.