Active NPI
Paul C Craig, DPT
- Physical Therapist
- Beatrice, NE
National Provider Identifier
1982017612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04833
- Practice address
- 2320 N 6TH St
Beatrice, NE 68310-1214 - Phone
- (402) 228-9292
- Fax
- (402) 228-9191
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04833 | KS | Primary |
Addresses
Primary practice location
2320 N 6TH St
Beatrice, NE 68310-1214
Mailing address
6820 Antioch Rd
Merriam, KS 66204-1412
Phone (402) 770-5496
Other practice location 1
11504 W 135th St
Overland Park, KS 66221-2892
Phone (913) 681-9909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2320 N 6TH St
Beatrice, NE 68310-1214
Phone (402) 228-9292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04833 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Husker Rehabilitation and Wellness Centers, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
2320 N 6th St
Beatrice, NE 68310
Phone (402) 228-9292
4911 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 477-3110
Organizations & group practices 1
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.
-
- Physical Therapist
- Lincoln, NE
- NPI 1427042688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1982017612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 ANTIOCH RD",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041412",
"telephone_number": "402-770-5496",
"fax_number": "913-681-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 N 6TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683101214",
"telephone_number": "402-228-9292",
"fax_number": "402-228-9191"
}
],
"practiceLocations": [
{
"address_1": "11504 W 135th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662212892",
"country_code": "US",
"telephone_number": "913-681-9909",
"fax_number": "913-681-9906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIG",
"first_name": "PAUL",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.