Individual provider Active NPI

Elliot John Neuheisel, DPT, ATC

  • Physical Therapist
  • Oneill, NE
National Provider Identifier
1972887248
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2886 Issued in NE
Practice address
300 N 2ND St
Oneill, NE 68763-1514
Phone
(402) 336-5165
NPI assigned
Oct 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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 2886 NE Primary

Addresses

Primary practice location

300 N 2ND St
Oneill, NE 68763-1514

Mailing address

1108 Cottonwood Dr
Oneill, NE 68763-1458
Phone (605) 770-5307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013002612 NE Practitioner - Physical Therapist in Private Practice 6901251784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neu You Physical Therapy PCGroup PAC ID 2769801703, 3 clinicians

Practice addresses (Care Compare)

118 S 4TH St
Oneill, NE 68763-1814
Phone (402) 336-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2886NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neu You Physical Therapy, PC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
Charf Therapy and Holistic Wellness, LLC PastSince Oct 16, 2023 Accepting new patients

Locations

118 S 4th St
Oneill, NE 68763
Phone (402) 336-1899

Organizations & group practices 2

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1972887248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 COTTONWOOD DR",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631458",
            "telephone_number": "605-770-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 2ND ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631514",
            "telephone_number": "402-336-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHEISEL",
        "first_name": "ELLIOT",
        "middle_name": "JOHN",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.