Blue Sky Therapy Inc. – Physical Therapist

Key facts

NPI: 1942986229
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapist 225100000X
Legal business name: BLUE SKY THERAPY INC.
Practice address: 73452 Avenue 347
Wauneta, NE 69045-7149
Phone: (800) 308-7591
Fax: (888) 375-5929
NPI assigned: Jun 22, 2023
Organization subpart: No

Authorized official

Name: Jon Elvin Polly, PT
Title: Ceo
Phone: (800) 308-7591

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jon E Polly, P.T. Physical Therapist · Granada Hills, CA · NPI 1710020037

Medicare reassignment NPD NE · PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NE

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20231026000286	NE	Part B Supplier - Physical/Occupational Therapy Group in Private Practice	8729434832	Receives reassigned benefits from 1 practitioner Practice locations: Wauneta, NE

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225100000X			Yes

Addresses

Primary practice location

73452 Avenue 347
Wauneta, NE 69045-7149

Mailing address

PO Box 366
Wauneta, NE 69045-0366
Phone (800) 308-7591

Other providers in Wauneta, NE

All providers in Wauneta, NE · Physical Therapist in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.