Active NPI
Team Physical Therapy,P.C.
- Physical Therapy Clinic/Center
- Gothenburg, NE
National Provider Identifier
1750828935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- TEAM PHYSICAL THERAPY,P.C.
- Practice address
- 523 10TH St
Gothenburg, NE 69138-1925 - Phone
- (308) 537-3600
- Fax
- (308) 537-3601
- NPI assigned
- Jan 25, 2017
- Organization subpart
- Yes
- Parent organization
- TEAM PHYSICAL THERAPY, P.C.
Authorized official
NPPES NPI Registry- Name
- Jeff Denson, PT
- Title
- Director of Operations & Personnel
- Phone
- (308) 872-5111
Corporate family (same tax ID) 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Greeley, NE
- NPI 1982997573
-
- Physical Therapist
- Kearney, NE
- NPI 1073854295
-
- Physical Therapist
- Broken Bow, NE
- NPI 1386052520
-
- Physical Therapy Clinic/Center
- Callaway, NE
- NPI 1518405901
-
- Physical Therapy Clinic/Center
- Burwell, NE
- NPI 1942747225
National Provider Directory
National Provider Directory- Tax ID family
- McMeen Physical Therapy
- Part of
- McMeen Physical Therapy
Locations
523 10th St
Gothenburg, NE 69138
Phone (308) 537-3600
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
523 10TH St
Gothenburg, NE 69138-1925
Mailing address
523 10TH St
Gothenburg, NE 69138-1925
Phone (308) 537-3600
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026075903 | Medicaid | NE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2017.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501027200000",
"number": "1750828935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 10TH ST",
"city": "GOTHENBURG",
"state": "NE",
"postal_code": "691381925",
"telephone_number": "308-537-3600",
"fax_number": "308-537-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 10TH ST",
"city": "GOTHENBURG",
"state": "NE",
"postal_code": "691381925",
"telephone_number": "308-537-3600",
"fax_number": "308-537-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM PHYSICAL THERAPY,P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEAM PHYSICAL THERAPY, P.C.",
"enumeration_date": "2017-01-25",
"last_updated": "2017-07-26",
"status": "A",
"authorized_official_last_name": "DENSON",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & PERSONNEL",
"authorized_official_telephone_number": "308-872-5111",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026075903",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gothenburg, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.