Organization Active NPI

Hickman Physical Therapy, LLC

  • Physical Therapist
  • Hickman, NE
National Provider Identifier
1841542578
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HICKMAN PHYSICAL THERAPY, LLC
Practice address
18780 S 68TH St Ste a
Hickman, NE 68372-7083
Phone
(402) 792-2223
Fax
(402) 792-2228
NPI assigned
Oct 4, 2012
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Mr. Casey J. Moeller, PT
Title
Owner / PT
Phone
(402) 792-2223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

18780 S 68TH St Ste a
Hickman, NE 68372-7083

Mailing address

18780 S 68TH St Ste a
Hickman, NE 68372-7083
Phone (402) 792-2223

National Provider Directory

National Provider Directory

Locations

18780 S 68th St
Ste A
Hickman, NE 68372
Phone (402) 792-2223

Practitioners & affiliated clinicians

Practitioners 1

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": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1841542578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18780 S 68TH ST STE A",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683727083",
            "telephone_number": "402-792-2223",
            "fax_number": "402-792-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 S 68TH ST STE A",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683727083",
            "telephone_number": "402-792-2223",
            "fax_number": "402-792-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER / PT",
        "authorized_official_telephone_number": "402-792-2223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickman, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.