Active NPI
Jonathan Ringblom
- Physical Therapy Assistant
- Elkhorn, NE
National Provider Identifier
1801560867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1604
- Practice address
- 600 Brookstone Meadows PLZ
Elkhorn, NE 68022-4401 - Phone
- (402) 289-2696
- NPI assigned
- Aug 3, 2021
- Last updated
- Aug 3, 2021
- 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 Therapy Assistant | 225200000X | 1604 | NE | Primary |
Addresses
Primary practice location
600 Brookstone Meadows PLZ
Elkhorn, NE 68022-4401
Mailing address
8062 Kilpatrick Pkwy
Bennington, NE 68007-3289
Phone (402) 709-2196
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1604 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1801560867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8062 KILPATRICK PKWY",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680073289",
"telephone_number": "402-709-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BROOKSTONE MEADOWS PLZ",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224401",
"telephone_number": "402-289-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINGBLOM",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "1604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.