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
Last updated
Jul 26, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TEAM PHYSICAL THERAPY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Jeff Denson, PTNPI 1659465409
Title
Director of Operations & Personnel
Phone
(308) 872-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

523 10TH St
Gothenburg, NE 69138-1925

Mailing address

523 10TH St
Gothenburg, NE 69138-1925
Phone (308) 537-3600

National Provider Directory

National Provider Directory
Tax ID family
Team Physical Therapy PC6 organizations share this tax ID, including this one
Part of
Team Physical Therapy PC

Other organizations with this tax ID 5

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

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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": [],
    "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.