NPIMap

Organization Active NPI

Heartland Neurological Therapy and Wellness Center LLC

  • Physical Therapist
  • Waterloo, NE
National Provider Identifier
1902577992
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEARTLAND NEUROLOGICAL THERAPY AND WELLNESS CENTER LLC
Practice address
2650 River Road Dr
Waterloo, NE 68069-2040
Phone
(402) 319-0801
Fax
(402) 769-2908
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Cherolyn M Prince, DPT
Title
Director/Owner
Phone
(402) 319-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2650 River Road Dr
Waterloo, NE 68069-2040

Mailing address

1611 N 214TH St
Elkhorn, NE 68022-1612
Phone (402) 319-0801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cprince@heartlandneurological.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105002445 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860883675 Receives reassigned benefits from 9 practitioners
Practice locations: Waterloo, NE

National Provider Directory

National Provider Directory

Locations

2546 River Road Dr
Bldg C
Waterloo, NE 68069
Phone (402) 319-0801

2650 River Road Dr
Waterloo, NE 68069
Phone (402) 319-0801

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1902577992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N 214TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221612",
            "telephone_number": "402-319-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIVER ROAD DR",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680692040",
            "telephone_number": "402-319-0801",
            "fax_number": "402-769-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND NEUROLOGICAL THERAPY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "M PRINCE",
        "authorized_official_first_name": "CHEROLYN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "402-319-0801",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprince@heartlandneurological.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2650 River Road Dr",
            "city": "Waterloo",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680692040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.