Organization Active NPI

Team Physical Therapy,P.C.

  • Physical Therapy Clinic/Center
  • Gothenburg, NE
National Provider Identifier
1750828935
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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.As reported in NPPES

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.

National Provider Directory

National Provider Directory
Tax ID family
McMeen Physical Therapy (6 organizations share this tax ID)
Part of
McMeen Physical Therapy

Locations

523 10th St
Gothenburg, NE 69138
Phone (308) 537-3600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
10026075903MedicaidNE

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.

Verify at the official NPI Registry.