NPIMap

Organization Active NPI

Bellevue Physical Therapy, LLC

Doing business as Bellevue Physical Therapy

  • Physical Therapy Clinic/Center
  • Bellevue, NE
National Provider Identifier
1962740936
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BELLEVUE PHYSICAL THERAPY, LLC
Doing business as
Bellevue Physical Therapy
Practice address
2403 Towne Centre Dr Ste 300
Bellevue, NE 68123-6413
Phone
(402) 292-4000
Fax
(402) 292-4001
NPI assigned
Jan 24, 2013
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Brett I SmithNPI 1619064300
Title
Owner
Phone
(402) 873-7411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2403 Towne Centre Dr Ste 300
Bellevue, NE 68123-6413

Mailing address

2403 Towne Centre Dr Ste 300
Bellevue, NE 68123-6413
Phone (402) 292-4000

Other names 1

  • Bellevue Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000447 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335380385 Receives reassigned benefits from 9 practitioners
Practice locations: Papillion, NE; Bellevue, NE

National Provider Directory

National Provider Directory

Locations

2211 Capehart Rd
Ste 105
Bellevue, NE 68123
Phone (402) 291-0184

2403 Towne Centre Dr
Ste 300
Bellevue, NE 68123
Phone (402) 292-4000

701 Galvin Rd S
Ste 112
Bellevue, NE 68005
Phone (402) 292-4000

1413 S Washington St
Ste 302
Papillion, NE 68046
Phone (402) 292-4000

Practitioners & affiliated clinicians

Practitioners 11

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1962740936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 TOWNE CENTRE DR STE 300",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236413",
            "telephone_number": "402-292-4000",
            "fax_number": "402-292-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 TOWNE CENTRE DR STE 300",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236413",
            "telephone_number": "402-292-4000",
            "fax_number": "402-292-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-873-7411"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.