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NPI Code Detail

MEDICARE: NEBRASKA CITY PHYSICAL THERAPY, LLC

MEDICARE: NEBRASKA CITY PHYSICAL THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437453164
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEBRASKA CITY PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 1104 GRUNDMAN BLVD
Second Line :
City : NEBRASKA CITY
State : NE
Zip : 68410-3397
Country : US
Telephone Number : 402-873-7411
Fax Number : 402-873-7413
Provider Business Practice Location Address
First Line : 1104 GRUNDMAN BLVD
Second Line :
City : NEBRASKA CITY
State : NE
Zip : 68410-3397
Country : US
Telephone Number : 402-873-7411
Fax Number : 402-873-7413
Authorized Official
Title or Position : CEO
Name : DARRELL METCALF
Credential :
Telephone Number : 402-334-6027
Provider Enumeration Date : 01/10/2011
Last Update Date : 04/10/2025

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Directions to “NEBRASKA CITY PHYSICAL THERAPY, LLC ” Practice Location

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