MEDICARE: PAUL MATTHEW GARDNER MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1922	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08797	OTHER	NE	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114909439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MATTHEW GARDNER MPT

Provider Business Mailing Address
First Line	:	2380 8TH AVE
Second Line	:	SUITE 8
City	:	PLATTSMOUTH
State	:	NE
Zip	:	68048-2367
Country	:	US
Telephone Number	:	402-296-3433
Fax Number	:	402-296-3531

Provider Business Practice Location Address
First Line	:	2380 8TH AVE
Second Line	:	SUITE 8
City	:	PLATTSMOUTH
State	:	NE
Zip	:	68048-2367
Country	:	US
Telephone Number	:	402-296-3433
Fax Number	:	402-296-3531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1790780369 — DR. JOHN EUGENE BATEMAN O.D.
Practice Location Address:

2380 8TH AVE , STE 4
PLATTSMOUTH, NE
68048-2367

Practice Phone: 402-296-2200
Practice Fax: 402-296-6055

1437193893 — JENNIFER ROBIN PETERS PT
Practice Location Address:

2380 8TH AVE , SUITE 8
PLATTSMOUTH, NE
68048-2367

Practice Phone: 402-296-3433
Practice Fax: 402-296-3531

1841207610 — TANNER LEE THOMAS DPT
Practice Location Address:

2380 8TH AVE , SUITE 8
PLATTSMOUTH, NE
68048-2367

Practice Phone: 402-296-3433
Practice Fax: 402-296-3531

1376652115 — COMMUNITY REHAB, INC
Practice Location Address:

2380 8TH AVE , SUITE 8
PLATTSMOUTH, NE
68048-2367

Practice Phone: 402-296-3433
Practice Fax: 402-296-3531

1184758013 — JOHN E BATEMAN O D P C
Practice Location Address:

2380 8TH AVE
PLATTSMOUTH, NE
68048-2367

Practice Phone: 402-296-2200
Practice Fax: 402-296-6055

1033340724 — ANDREA JAE CARDA O.D.
Practice Location Address:

2380 8TH AVE STE 4
PLATTSMOUTH, NE
68048-2367

Practice Phone: 402-296-2200
Practice Fax: 402-296-6055

Directions to “ PAUL MATTHEW GARDNER MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.