Individual provider Active NPI

Joel M Neihardt

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1952733859
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3253 Issued in NE
Practice address
6319 Havelock Ave
Lincoln, NE 68507-1328
Phone
(402) 325-0044
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3253 NE Primary

Addresses

Primary practice location

6319 Havelock Ave
Lincoln, NE 68507-1328

Mailing address

7923 Dawson Creek Dr
Lincoln, NE 68505-3085
Phone (402) 310-5850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131107001417 NE Practitioner - Physical Therapist in Private Practice 8628203122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska City Physical Therapy LLCGroup PAC ID 4486836301, 12 clinicians

Practice addresses (Care Compare)

1104 Grundman Blvd
Nebraska City, NE 68410-3397
Phone (402) 873-7411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3253NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska City Physical Therapy, LLC Physical Therapist CurrentSince Aug 5, 2013 Accepting new patients
Rehabvisions Therapy NE, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Rehabvisions Therapy NE, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

3818 Normal Blvd
Lincoln, NE 68506
Phone (402) 488-4282

6319 Havelock Ave
Lincoln, NE 68507
Phone (402) 325-0044

1104 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 873-7411

11623 Arbor St
Omaha, NE 68144
Phone (402) 334-1919

510 Bradford St
Ste B
Seward, NE 68434
Phone (402) 646-2007

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1952733859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923 DAWSON CREEK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053085",
            "telephone_number": "402-310-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 HAVELOCK AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071328",
            "telephone_number": "402-325-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIHARDT",
        "first_name": "JOEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3253",
            "primary": true
        }
    ],
    "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 Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.