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General NPI Number Information
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NPI Number | 1053224261
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Entity Type | Organization
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Legal Business Name | EMPOWERED MOBILITY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 17316 WOOLWORTH AVE
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City | OMAHA
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State | NE
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Zip | 68130-1130
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Country | US
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Telephone | 605-360-4964
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Fax |
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Provider Business Mailing Address
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Address Line | 17316 WOOLWORTH AVE
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City | OMAHA
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State | NE
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Zip | 68130-1130
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Country | US
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Telephone | 605-360-4964
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DREW BURGGRAFF
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Credential |
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Telephone | 605-360-4964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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