Healthcare Provider Details

I. General information

NPI: 1174719074
Provider Name (Legal Business Name): OVERLAND REHAB SERVICES L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 MILLARD AVE
CREIGHTON NE
68729-3001
US

IV. Provider business mailing address

PO BOX 633
CREIGHTON NE
68729-0633
US

V. Phone/Fax

Practice location:
  • Phone: 402-358-3339
  • Fax:
Mailing address:
  • Phone: 402-358-3339
  • Fax: 402-358-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNE

VIII. Authorized Official

Name: DAVID DARREN HOLLAND
Title or Position: PT/OWNER
Credential: PT
Phone: 402-358-3339