Organization Active NPI

Bussey Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Omaha, NE
National Provider Identifier
1831681691
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BUSSEY PHYSICAL THERAPY, LLC
Practice address
10156 S 168TH Ave Ste 3
Omaha, NE 68136-4240
Phone
(402) 316-9060
NPI assigned
Jun 6, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Mr. Ricky Bussey, PT, DPTNPI 1952508335
Title
Owner & Physical Therapist
Phone
(402) 316-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10156 S 168TH Ave Ste 3
Omaha, NE 68136-4240

Mailing address

10156 S 168TH Ave Ste 3
Omaha, NE 68136-4240
Phone (402) 316-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912003580 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961752951 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE; Bennington, NE

National Provider Directory

National Provider Directory

Locations

15530 Ida St
Ste 500
Bennington, NE 68007
Phone (402) 502-1090

10156 S 168th Ave
Ste 3
Omaha, NE 68136
Phone (402) 659-0537

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1831681691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10156 S 168TH AVE STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364240",
            "telephone_number": "402-316-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 S 168TH AVE STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364240",
            "telephone_number": "402-316-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSSEY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER & PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-316-9060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.