Individual provider Active NPI

Brandon McGill, PT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1881252278
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3935 Issued in NE
Practice address
2510 S 40TH St Ste 200
Lincoln, NE 68506-2411
Phone
(402) 486-3333
Fax
(402) 486-3349
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 3935 NE Primary

Addresses

Primary practice location

2510 S 40TH St Ste 200
Lincoln, NE 68506-2411

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711001345 NE Practitioner - Physical Therapist in Private Practice 8628303708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4920 N 26TH St
Suite 100
Lincoln, NE 68521-4748
Phone (402) 434-5361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3935NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physician Network CurrentSince May 29, 2019 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Lincoln Orthopedic Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

4920 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 434-5361

Organizations & group practices 3

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1881252278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 40TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062411",
            "telephone_number": "402-486-3333",
            "fax_number": "402-486-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "BRANDON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3935",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 31, 2019; 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.