Matthew Janssen
Individual provider Active NPI Physical Therapist · Bayard, NE
NPI 1972936722 · NPPES record last updated Aug 15, 2013
Key facts
- NPI
- 1972936722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3030 (NE)
- Practice address
- 106 E 13TH St
Bayard, NE 69334-8051 - Phone
- (308) 586-1142
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3030 | NE | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3030 | NE | Yes |
Addresses
Primary practice location
106 E 13TH St
Bayard, NE 69334-8051
Mailing address
2434 Coronado CT
Sidney, NE 69162-2414
Other providers in Bayard, NE
- City of Bayard
- Ellie Cummings
- Shauna Dye
- Trevor Eugene Eirich
- Desarae Dawn Hascall
- Justine R Jobman
- Kody Joseph Krantz
- Melissa L Miller
- Artila Montesdeoca
- Amia Melis Moreno
All providers in Bayard, 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 Aug 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.