MEDICARE: PHYSICAL THERAPY SOLUTIONS, PC

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		NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	DE7140	OTHER	NE	PALMETTO GBA GROUP ID

General Provider Information

NPI Number	:	1730236118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY SOLUTIONS, PC

Provider Business Mailing Address
First Line	:	2130 S 17TH ST
Second Line	:	SUITE 200
City	:	LINCOLN
State	:	NE
Zip	:	68502-3750
Country	:	US
Telephone Number	:	402-476-6575
Fax Number	:	402-476-6576

Provider Business Practice Location Address
First Line	:	2130 S 17TH ST
Second Line	:	SUITE 200
City	:	LINCOLN
State	:	NE
Zip	:	68502-3750
Country	:	US
Telephone Number	:	402-476-6575
Fax Number	:	402-476-6576

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC JASON BJORKMAN
Credential	:	PT
Telephone Number	:	402-476-6575

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	08/23/2023

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