Active NPI
Shelly Urkoski
- Physical Therapy Assistant
- Clarks, NE
National Provider Identifier
1831588672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 944
- Practice address
- 102 E Morris St
Clarks, NE 68628-2881 - Phone
- (402) 469-9107
- NPI assigned
- Jan 16, 2015
- Last updated
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 485 | NE | |
| Physical Therapy Assistant | 225200000X | 944 | NE | Primary |
Addresses
Primary practice location
102 E Morris St
Clarks, NE 68628-2881
Mailing address
102 E Morris St
Clarks, NE 68628-2881
Phone (402) 469-9107
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 485 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Rehab LLC | Multi-Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1831588672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E MORRIS ST",
"city": "CLARKS",
"state": "NE",
"postal_code": "686282881",
"telephone_number": "402-469-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E MORRIS ST",
"city": "CLARKS",
"state": "NE",
"postal_code": "686282881",
"telephone_number": "402-469-9107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URKOSKI",
"first_name": "SHELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-16",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "485",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.