NPIMap

Organization Active NPI

Family Physical Therapy & Sports Center

  • Physical Therapist
  • Ravenna, NE
National Provider Identifier
1942417852
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FAMILY PHYSICAL THERAPY & SPORTS CENTER
Practice address
321 Grand Ave
Ravenna, NE 68869
Phone
(308) 452-7154
Fax
(308) 452-7154
NPI assigned
May 17, 2007
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY PHYSICAL THERAPY & SPORTS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Marg Ortegren
Title
Office Manager
Phone
(308) 698-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NE Primary

Addresses

Primary practice location

321 Grand Ave
Ravenna, NE 68869

Mailing address

211 W 33Rd St
Kearney, NE 68845-3456
Phone (308) 236-5884

National Provider Directory

National Provider Directory
Tax ID family
Family Physical Therapy3 organizations share this tax ID, including this one
Part of
Family Physical Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

913 Village Sq
Gretna, NE 68028
Phone (402) 332-0102

620 E 25th St
Kearney, NE 68847
Phone (308) 865-2767

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1942417852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453456",
            "telephone_number": "308-236-5884",
            "fax_number": "308-236-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GRAND AVE",
            "city": "RAVENNA",
            "state": "NE",
            "postal_code": "68869",
            "telephone_number": "308-452-7154",
            "fax_number": "308-452-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL THERAPY & SPORTS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PHYSICAL THERAPY & SPORTS CENTER",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "ORTEGREN",
        "authorized_official_first_name": "MARG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-698-2820"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.