Healthcare Provider Details

I. General information

NPI: 1972428514
Provider Name (Legal Business Name): MEGAN BURGHART DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

2130 S 17TH ST STE 200
LINCOLN NE
68502-3750
US

IV. Provider business mailing address

2130 S 17TH ST STE 200
LINCOLN NE
68502-3750
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-6575
  • Fax:
Mailing address:
  • Phone: 402-464-6141
  • Fax: 402-464-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5008
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: