Individual provider Active NPI

Paul A Thygesen, PT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1851452973
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1722 Issued in NE
Practice address
5955 S 56TH St
Suite #1
Lincoln, NE 68516-3391
Phone
(402) 423-7878
Fax
(402) 423-0272
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1722 NE Primary

Addresses

Primary practice location

5955 S 56TH St
Suite #1
Lincoln, NE 68516-3391

Mailing address

5955 S 56TH St
Suite #1
Lincoln, NE 68516-3391
Phone (402) 438-0058

Other identifiers 1

IdentifierTypeStateIssuer
10025615300MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000072 NE Practitioner - Physical Therapist in Private Practice 6709955008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5955 S 56TH St
Lincoln, NE 68516-3391
Phone (402) 423-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1722NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thygesen Physical Therapy, P.C. Physical Therapist CurrentSince Mar 5, 2008 Accepting new patients

Locations

5955 S 56th St
Ste 1
Lincoln, NE 68516
Phone (402) 423-7878

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1851452973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 S 56TH ST",
            "address_2": "SUITE #1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163391",
            "telephone_number": "402-438-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 S 56TH ST",
            "address_2": "SUITE #1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163391",
            "telephone_number": "402-423-7878",
            "fax_number": "402-423-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYGESEN",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025615300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.