Ross A Oberg, DPT, ATC

Individual provider Active NPI Physical Therapist · Minden, NE

NPI 1891015392 · NPPES record last updated Jul 27, 2022

Key facts

NPI
1891015392
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2844 (NE)
Practice address
727 E 1St St
Minden, NE 68959-1705
Phone
(308) 832-3400
Fax
(308) 832-3404
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
552NEMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 552 NE
Physical Therapist 225100000X 2844 NE Yes

Addresses

Primary practice location

727 E 1St St
Minden, NE 68959-1705

Mailing address

727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400

Other providers in Minden, NE

All providers in Minden, NE · Physical Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.