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NPI Code Detail

MEDICARE: COLUMBUS PHYSICAL THERAPY, P.C.

MEDICARE: COLUMBUS PHYSICAL THERAPY, P.C.
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
1225100000XPhysical Therapist1647NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11801820840OTHERNENPI#

General Provider Information

NPI Number : 1255436374
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS PHYSICAL THERAPY, P.C.
Provider Business Mailing Address
First Line : 3211 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2473
Country : US
Telephone Number : 402-564-5456
Fax Number : 402-562-6350
Provider Business Practice Location Address
First Line : 3211 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2473
Country : US
Telephone Number : 402-564-5456
Fax Number : 402-562-6350
Authorized Official
Title or Position : SENIOR INCOME MANAGER
Name : HEATHER MARIE ENGEL
Credential :
Telephone Number : 402-564-5456
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/07/2019

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Directions to “COLUMBUS PHYSICAL THERAPY, P.C. ” Practice Location

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