Healthcare Provider Details

I. General information

NPI: 1710299169
Provider Name (Legal Business Name): KEY PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7686 WALNUT ST
OMAHA NE
68124-1717
US

IV. Provider business mailing address

7686 WALNUT ST
OMAHA NE
68124-1717
US

V. Phone/Fax

Practice location:
  • Phone: 402-578-3146
  • Fax: 402-916-1739
Mailing address:
  • Phone: 402-578-3146
  • Fax: 402-916-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTORIA KT MCHUGH
Title or Position: PHYSICAL THERAPIST/ OWNER
Credential: P.T.
Phone: 402-578-3146