Bluffs Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUFFS PHYSICAL THERAPY LLC

Practice address

3510 Avenue B Ste a
Scottsbluff, NE 69361-4314

Phone

(308) 633-7878

Fax

(308) 633-7018

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Michael Moravec, PT, DPTNPI 1093906034

Title

Owner

Phone

(308) 633-7878

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Moravec, PT

  • Physical Therapist
  • Gering, NE
  • NPI 1093906034
  Medicare reassignment Care Compare group NPD Authorized official
• Jenna McKenzie Boyd

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1407585896
  Medicare reassignment Care Compare group NPD
• Kael Juelfs, PT, DPT

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1073306403
  Medicare reassignment NPD
• Jeffrey Bernard Peters, PT

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1336975994
  NPD
• Stacey Mitlehner

  • Physical Therapy Assistant
  • Sidney, NE
  • NPI 1124594163
  NPD (past)
• Logan Michael Moravec, DPT

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1043141542
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1821591744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 AVENUE B STE A",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614314",
            "telephone_number": "308-633-7878",
            "fax_number": "308-633-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 AVENUE B STE A",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614314",
            "telephone_number": "308-633-7878",
            "fax_number": "308-633-7018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190098 Tamara Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693615758",
            "country_code": "US",
            "telephone_number": "402-677-9169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUFFS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "MORAVEC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-633-7878",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "1093906034",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1093906034",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Blomstedt III, DO
• Molly Bloodgood, CRNA
• Falecia Blow
• Bluffs Chiropractic Clinic, P.C.
• Bluffs Health Care Clinic
• Bluffs Vision Care, PC
• Keith Anthony Bonacquisti, MD
• Frank Bonpietro, M.D.
• Christian James Borton I, MD
• Kira Rae Wheeler Bowhay, DC

• Physical Therapy Clinic/Center in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Physical Therapy Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.