LIVE WELL PHYSICAL THERAPY (NPI# 1033307558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033307558 |
| Entity Type | Organization |
| Organization Name | LIVE WELL PHYSICAL THERAPY |
| Practice Address |
929 S Locust St Grand Island NE 68801-6751 |
| Practice Telephone | 3803829700 |
| Practice Fax Number | 3083829898 |
| Mailing Telephone | 3803829700 |
| Mailing Fax Number | 3083829898 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | BARBARA J. ENGBERG (OWNER/PT) |
| Authorized Official Telephone | 3083829700 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1060 | NE | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Live Well Physical Therapy and Pilates LLC | 112 Hamilton Hedge Place, Cary, NC 27519 |
| North Carolina Corporations | Live Well Physical Therapy and Wellness LLC | 4532 Stonewall Drive, Raleigh, NC 27604 |
| Street Address |
929 S LOCUST ST |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68801-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074869 | Susan Gail Hageman | Specialist | 929 S Locust St, Grand Island, NE 68801-6751 | 2005-06-22 |
| 1033778295 | Mitchell Thompson | Physical Therapist | 929 S Locust St, Grand Island, NE 68801-6751 | 2019-06-11 |
| 1306405550 | Nicole Thompson | Physical Therapist | 929 S Locust St, Grand Island, NE 68801-6751 | 2019-06-11 |
| 1821448200 | Matthew Mccarty | Physical Therapist | 929 S Locust St, Grand Island, NE 68801-6751 | 2016-06-16 |
| 1881002905 | Matthew Hilligas | Physical Therapist | 929 S Locust St, Grand Island, NE 68801-6751 | 2014-08-01 |
| 1124442553 | Amber Hilligas | Physical Therapist | 929 S Locust St, Grand Island, NE 68801-6751 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580380 | Ali Renee Meister | Massage Therapist | 114 W 3rd Street, Grand Island, NE 68801 | 2018-09-03 |
| 1033611587 | Austan Reid Pomajzl | Chiropractor | 3008 W Stolley Park Rd Suite 3, Grand Island, NE 68801 | 2018-03-01 |
| 1952849226 | Abby Kluna | Occupational Therapy Assistant | 4911 Baker Ave, Grand Island, NE 68801 | 2017-02-07 |
| 1194177386 | Elia Rivera | Counselor | 312 N Elm St Ste 112, Grand Island, NE 68801 | 2016-07-12 |
| 1710332101 | B & R Stores Inc | Pharmacy | 710 West State St, Grand Island, NE 68801 | 2016-05-04 |
| 1013332550 | Nathaniel Jones | Physical Therapy Assistant | 1405 West Highway 34, Grand Island, NE 68801 | 2014-02-20 |
| 1659455004 | Sarah Spellbrink | Counselor | 312 N Elm St Ste 115, Grand Island, NE 68801 | 2006-10-24 |
| 1356451439 | Dawn Gay Nahrstedt | Nurse Practitioner | 1300 S Locust, Ste A, Grand Island, NE 68801 | 2006-08-30 |
| 1306879275 | Bens Drug Store Inc | Pharmacy | 123 West Third, Grand Island, NE 68801 | 2006-07-07 |
| 1689631327 | Sandra Leigh Borden | Nurse Practitioner | 1300 S Locust St, Ste A, Grand Island, NE 68801 | 2006-04-27 |
| Find all providers in zip 68801 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841747524 | Grand Island Park Place Care and Rehabilitation Center, LLC | Clinic/Center | 610 N Darr Ave, Grand Island, NE 68803-4635 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638853 | Neu You Physical Therapy, PC | Clinic/Center | 614 N 4th St, Oneill, NE 68763-1303 | 2020-08-06 |
| 1083258594 | Kel-pt LLC | Clinic/Center | 214 N Pearl St Ste A, Wayne, NE 68787-1902 | 2019-10-29 |
| 1831681691 | Bussey Physical Therapy, LLC | Clinic/Center | 10156 S 168th Ave Ste 3, Omaha, NE 68136-4240 | 2018-06-06 |
| 1821591744 | Bluffs Physical Therapy LLC | Clinic/Center | 3510 Avenue B Ste A, Scottsbluff, NE 69361-4314 | 2018-03-16 |
| 1750897807 | Bcpt LLC | Clinic/Center | 706 Patterson St, Cambridge, NE 69022-6598 | 2017-12-26 |
| 1518405901 | Team Physical Therapy, P.C. | Clinic/Center | 207 South Grand Avenue, Callaway, NE 68825 | 2017-02-06 |
| 1811448640 | Advanced Physical Therapy LLC | Clinic/Center | 5640 S 84th St, 100, Lincoln, NE 68516-4471 | 2016-10-17 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1689121360 | Specialized Physical Therapy | Clinic/Center | 7611 Pacific St, Omaha, NE 68114-5420 | 2016-09-09 |
| 1811440571 | Coreworks Physical Therapy | Clinic/Center | 11303 Wright Cir, Omaha, NE 68144-4738 | 2016-07-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68801 |
Please comment or provide details below to improve the information on LIVE WELL PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.