Organization Active NPI

Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1891846572
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0773441DPC Issued in NE
Legal business name
LINCOLN PHYSICAL THERAPY AND SPORTS REHAB LLC
Practice address
2550 Superior St Ste 100
Lincoln, NE 68521-4155
Phone
(402) 476-2600
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Chad WemhoffNPI 1417004870
Title
Owner/ PT
Phone
(402) 421-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0773441DPC NE Primary
Durable Medical Equipment & Medical Supplies 332B00000X NE

Addresses

Primary practice location

2550 Superior St Ste 100
Lincoln, NE 68521-4155

Mailing address

6940 Van Dorn St Ste 103
Lincoln, NE 68506-2858
Phone (402) 483-4709

Other practice location 1

4451 N 26th St
Suite 1000
Lincoln, NE 68521-4142
Phone (402) 476-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151023001767 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133438641 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 39)

6520 Atlanta Hwy
Ste 201
Montgomery, AL 36117
Phone (334) 260-6100

3216 Ming Ave
#D
Bakersfield, CA 93304
Phone (661) 835-7440

3755 Bloomfield Rd
Ste 5
Macon, GA 31206

7921 Mall Rd
Ste 6
Florence, KY 41042

3468 28th St SE
Kentwood, MI 49512
Phone (616) 974-8447

2510 Maple Grove Rd
Duluth, MN 55811
Phone (218) 722-2712

1872 Madison Ave
Mankato, MN 56001

15218A Crossroads Pkwy
Ste 59
Gulfport, MS 39503

6117 U S Highway 98
Ste 10
Hattiesburg, MS 39402
Phone (601) 261-6966

4700 Robinson Rd
Ste 150
Jackson, MS 39204
Phone (601) 922-0292

6351 I 55 N
Ste 1
Jackson, MS 39213

4203 W Wendover Ave
Ste F
Greensboro, NC 27407
Phone (336) 698-3781

10028 Coors Blvd NW
Ste A
Albuquerque, NM 87114
Phone (505) 792-1617

4323 E Main St
Farmington, NM 87402
Phone (505) 326-7654

6301 Sawmill Rd
Dublin, OH 43017
Phone (614) 764-0400

906 Great East Plz
Niles, OH 44446
Phone (330) 505-1327

2418 Taylor Park Dr
Reynoldsburg, OH 43068
Phone (614) 861-9800

7199 SE 29th St
Ste 110A
Midwest City, OK 73110
Phone (405) 741-2020

7199 SE 29th St
Midwest City, OK 73110
Phone (405) 737-6681

501 N Main St
Ste 36A
Muskogee, OK 74401
Phone (918) 686-7788

6010 SW 3rd St
Oklahoma City, OK 73128
Phone (405) 440-2020

3123 S Harvard Ave
Tulsa, OK 74135

7104 S Sheridan Rd
Tulsa, OK 74133
Phone (918) 493-6278

260 Park City Ctr
Lancaster, PA 17601
Phone (717) 293-5232

2899 Whiteford Rd
Ste 140
York, PA 17402
Phone (717) 600-0586

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1891846572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-483-4709",
            "fax_number": "402-483-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SUPERIOR ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214155",
            "telephone_number": "402-476-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 N 26th St",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685214142",
            "country_code": "US",
            "telephone_number": "402-476-2600",
            "fax_number": "402-476-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINCOLN PHYSICAL THERAPY AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "WEMHOFF",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/ PT",
        "authorized_official_telephone_number": "402-421-2700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "0773441DPC",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 2, 2019; 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.