Healthcare Provider Details
I. General information
NPI: 1730236118
Provider Name (Legal Business Name): PHYSICAL THERAPY SOLUTIONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2007
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2130 S 17TH ST SUITE 200
LINCOLN NE
68502-3750
US
IV. Provider business mailing address
2130 S 17TH ST SUITE 200
LINCOLN NE
68502-3750
US
V. Phone/Fax
- Phone: 402-476-6575
- Fax: 402-476-6576
- Phone: 402-476-6575
- Fax: 402-476-6576
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | NE |
VIII. Authorized Official
Name:
ERIC
JASON
BJORKMAN
Title or Position: PRESIDENT
Credential: PT
Phone: 402-476-6575