Healthcare Provider Details

I. General information

NPI: 1770909269
Provider Name (Legal Business Name): TRACEY ANN HUPPE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRACEY ANN BANKS PT

II. Dates (important events)

Enumeration Date: 03/09/2014
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 BELLEVUE MEDICAL CENTER DR
BELLEVUE NE
68123-1520
US

IV. Provider business mailing address

13715 KELLY DR
BELLEVUE NE
68123-2759
US

V. Phone/Fax

Practice location:
  • Phone: 402-763-3000
  • Fax:
Mailing address:
  • Phone: 603-818-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1048
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number3500
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: