Healthcare Provider Details

I. General information

NPI: 1780430066
Provider Name (Legal Business Name): MEGAN A REINKE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 S 86TH ST STE 100
LINCOLN NE
68526-9225
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 402-261-4739
  • Fax: 402-261-4972
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-300-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTP-PT-LIC-29702
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: