MEDICARE: HASTINGS PHYSICAL THERAPY

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1447022132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASTINGS PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	3213 W NORTH FRONT ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4026
Country	:	US
Telephone Number	:	308-395-7252
Fax Number	:	308-395-7063

Provider Business Practice Location Address
First Line	:	3213 W NORTH FRONT ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-4026
Country	:	US
Telephone Number	:	308-395-7252
Fax Number	:	308-395-7063

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BAILEY HANSEN
Credential	:
Telephone Number	:	402-462-2665

Provider Enumeration Date	:	10/25/2023
Last Update Date	:	06/19/2024

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Directions to “HASTINGS PHYSICAL THERAPY ” Practice Location

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