Organization Active NPI

Rise Rehab & Performance, PC

  • Physical Therapy Clinic/Center
  • Broken Bow, NE
National Provider Identifier
1952605222
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RISE REHAB & PERFORMANCE, PC
Practice address
1110 S B St
Broken Bow, NE 68822-1942
Phone
(308) 872-5800
Fax
(308) 872-5803
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Errin M Nelson, PHYSICAL THERAPISTNPI 1265668172
Title
Sec/Treasurer
Phone
(308) 872-5800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1110 S B St
Broken Bow, NE 68822-1942

Mailing address

1110 S B St
Broken Bow, NE 68822-1942
Phone (308) 872-5800

Other identifiers 1

IdentifierTypeStateIssuer
2752OtherNEPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000639 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729261078 Receives reassigned benefits from 2 practitioners
Practice locations: Broken Bow, NE

National Provider Directory

National Provider Directory

Locations

1110 S B St
Broken Bow, NE 68822
Phone (308) 872-5800

748 N 10th Ave
Broken Bow, NE 68822
Phone (308) 872-5800

830 Meridian Ave
Cozad, NE 69130
Phone (308) 737-3051

Practitioners & affiliated clinicians

Practitioners 3

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": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1952605222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S B ST",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221942",
            "telephone_number": "308-872-5800",
            "fax_number": "308-872-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S B ST",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221942",
            "telephone_number": "308-872-5800",
            "fax_number": "308-872-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE REHAB & PERFORMANCE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERRIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SEC/TREASURER",
        "authorized_official_telephone_number": "308-872-5800",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2752",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.