MEDICARE: JON J HAUSMANN DPT

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	2667	NE
2	2255A2300X	Athletic Trainer	144	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821021452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON J HAUSMANN DPT

Provider Business Mailing Address
First Line	:	P.O BOX 8
Second Line	:
City	:	PIERCE
State	:	NE
Zip	:	68767
Country	:	US
Telephone Number	:	402-329-4050
Fax Number	:	402-329-4057

Provider Business Practice Location Address
First Line	:	105 E MAIN ST
Second Line	:
City	:	PIERCE
State	:	NE
Zip	:	68767-1343
Country	:	US
Telephone Number	:	402-329-4050
Fax Number	:	402-329-4057

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	11/01/2022

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Directions to “ JON J HAUSMANN DPT” Practice Location

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