Active NPI
Natalie Lynn Boeckman, PTA
- Physical Therapy Assistant
- Elmwood, NE
National Provider Identifier
1821768763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1696
- Practice address
- 213 S 2ND St
Elmwood, NE 68349-6123 - Phone
- (402) 297-3098
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- 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 | 1696 | NE | Primary |
Addresses
Primary practice location
213 S 2ND St
Elmwood, NE 68349-6123
Mailing address
PO Box 72
Elmwood, NE 68349-0072
Phone (402) 297-3098
Other names 1
- Natalie Lynn Stander
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 |
|---|---|---|---|
| 1696 | NE | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1821768763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72",
"city": "ELMWOOD",
"state": "NE",
"postal_code": "683490072",
"telephone_number": "402-297-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 S 2ND ST",
"city": "ELMWOOD",
"state": "NE",
"postal_code": "683496123",
"telephone_number": "402-297-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOECKMAN",
"first_name": "NATALIE",
"middle_name": "LYNN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "1696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "STANDER",
"middle_name": "LYNN",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elmwood, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.