Healthcare Provider Details

I. General information

NPI: 1053470823
Provider Name (Legal Business Name): HORIZON PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 OLD CHENEY RD STE 2
LINCOLN NE
68516-3517
US

IV. Provider business mailing address

8380 OLD CHENEY RD STE 2
LINCOLN NE
68516-3517
US

V. Phone/Fax

Practice location:
  • Phone: 402-310-9927
  • Fax: 402-925-6953
Mailing address:
  • Phone: 402-310-9927
  • Fax: 402-925-6953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1655
License Number StateNE

VIII. Authorized Official

Name: SHANE M JANSA
Title or Position: OWNER
Credential:
Phone: 402-310-9927