Healthcare Provider Details

I. General information

NPI: 1144116500
Provider Name (Legal Business Name): STAY STRONG PHYSICAL THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14713 INDUSTRIAL RD
OMAHA NE
68144-3230
US

IV. Provider business mailing address

15963 ADAMS ST
OMAHA NE
68135-6325
US

V. Phone/Fax

Practice location:
  • Phone: 402-707-8407
  • Fax:
Mailing address:
  • Phone: 402-707-8407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH C SPIELER
Title or Position: OWNER
Credential: PT
Phone: 402-707-8407