Taylor Creek Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1299 Issued in NE

Legal business name

TAYLOR CREEK PHYSICAL THERAPY LLC

Practice address

119 Saddle LN
Madison, NE 68748-6346

Phone

(402) 454-9300

Fax

(402) 454-9304

NPI assigned

Apr 19, 2008

Last updated

Apr 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi L Jagels, PTNPI 1144308271

Title

Physical Therapist

Phone

(402) 454-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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.

• Kristi L Jagels, PT

  • Physical Therapist
  • Madison, NE
  • NPI 1144308271
  Medicare reassignment Care Compare group Authorized official
• Ben J Sudbeck, DPT

  • Physical Medicine & Rehabilitation Physician
  • Waverly, NE
  • NPI 1851590459
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1871767913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SADDLE LN",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486346",
            "telephone_number": "402-454-9300",
            "fax_number": "402-454-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SADDLE LN",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486346",
            "telephone_number": "402-454-9300",
            "fax_number": "402-454-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CREEK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-19",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "JAGELS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-454-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "1299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025607600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Saldana
• Mercedes Salgado
• Richard D Sanchez Jr.
• Stephanie Jacklyn Santillan
• Makel Elaine Sazama, RN
• Topnotch Home Health Care LLC
• Alvety Tuma
• Erika Velez
• Racquel Villa
• Jo Waara

• Physical Therapy Clinic/Center in Madison, NE
• Providers in Madison, NE by specialty
• Physical Therapy Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.