Healthcare Provider Details

I. General information

NPI: 1760738652
Provider Name (Legal Business Name): TRINITY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2012
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 N 144TH ST
OMAHA NE
68116-4206
US

IV. Provider business mailing address

4006 N 144TH ST
OMAHA NE
68116-4206
US

V. Phone/Fax

Practice location:
  • Phone: 402-885-8855
  • Fax:
Mailing address:
  • Phone: 402-885-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number2011
License Number StateNE

VIII. Authorized Official

Name: RACHELLE MARIE MCGUIGAN
Title or Position: OWNER
Credential: P.T.
Phone: 402-238-9991