Active NPI
Jeffrey L Foster, DPT
- Physical Therapist
- Fremont, NE
National Provider Identifier
1750674487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2985
- Practice address
- 410 E 22ND St
Fremont, NE 68025-2609 - Phone
- (402) 721-3908
- Fax
- (402) 721-4047
- NPI assigned
- May 27, 2011
- Last updated
- Oct 4, 2011
- 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 | 2985 | NE | Primary |
Addresses
Primary practice location
410 E 22ND St
Fremont, NE 68025-2609
Mailing address
410 E 22ND St
Fremont, NE 68025-2609
Phone (402) 721-3908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47623 | Other | NE | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2985 | NE | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1750674487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E 22ND ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252609",
"telephone_number": "402-721-3908",
"fax_number": "402-721-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E 22ND ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252609",
"telephone_number": "402-721-3908",
"fax_number": "402-721-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "47623",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.