Healthcare Provider Details

I. General information

NPI: 1669384517
Provider Name (Legal Business Name): RESILIENT SPINE PHYSICAL THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14707 CALIFORNIA ST
OMAHA NE
68154-1933
US

IV. Provider business mailing address

4105 GLADBROOK DR
COUNCIL BLUFFS IA
51503-2532
US

V. Phone/Fax

Practice location:
  • Phone: 919-480-9102
  • Fax:
Mailing address:
  • Phone: 919-480-9102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY MICHELLE BEIER
Title or Position: CEO, PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 919-480-9102