Contourbody Structure LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CONTOURBODY STRUCTURE LLC

Doing business as

Valeriya Life

Practice address

1515 S 204TH St, Suite #105
Elkhorn, NE 68022

Phone

(531) 777-2752

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bret Van Kettelhut, MD

Title

Medical Director

Phone

(402) 253-9938

Specialties & licenses 1

Addresses

Other names 1

• Valeriya Life Doing business as

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.

• Margaret Matveyev

  • Family Nurse Practitioner
  • Elkhorn, NE
  • NPI 1205716891
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1801518030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 189TH CIRCLE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S 204TH ST, SUITE #105",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68022",
            "telephone_number": "531-777-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTOURBODY STRUCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "KETTELHUT",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-253-9938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valeriya Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Rehab, Inc (Community Rehab)
• Mahamoudou Compaore
• Competitive Chiropractic & Rehab
• Brendan D Connealy, M.D.
• Consolidated Resources Health Care Fund I, L.P. (Life Care Center of Elkhorn)
• Amanda Cook, OT
• Core Chiropractic, P.C.
• Bridget N Cornell, APRN
• Dwanawone Rockelle Cowan
• Angela Cox, MGC

• Medical Specialty Clinic/Center in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Medical Specialty Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.