KELLY BEWLEY (NPI# 1083003628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083003628 |
Entity Type | Individual |
Full Name | KELLY BEWLEY |
Credential | PTA |
Practice Address |
10730 Pacific St Ste 210 Omaha NE 68114-4761 |
Mailing Address |
720 Boulevard St Lot 4 Fremont NE 68025-8652 |
Practice Telephone | 4027537230 |
Mailing Telephone | 4022770637 |
Enumeration Date | 2015-01-20 |
Last Update Date | 2015-01-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1200 | NE | Ambulatory Health Care Facilities |
Street Address |
10730 PACIFIC ST STE 210 |
City | OMAHA |
State | NE |
Zip Code | 68114-4761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124359104 | Ashish K Batheja | Physical Therapist | 10730 Pacific St Ste 210, Omaha, NE 68114-4761 | 2010-01-15 |
1770042673 | Lisa Marie Slama | Occupational Therapist | 10730 Pacific St Ste 210, Omaha, NE 68114-4761 | 2019-03-19 |
1275925356 | Anthony Cruz | Physical Therapist | 10730 Pacific St Ste 210, Omaha, NE 68114-4761 | 2015-02-25 |
1942607072 | Medlink, LLC | Home Health | 10730 Pacific St Ste 210, Omaha, NE 68114-4761 | 2014-12-04 |
1811267628 | Cole Thomas Rhoades | Physical Therapy Assistant | 10730 Pacific St Ste 210, Omaha, NE 68114-4761 | 2012-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
Find all providers in zip 68114 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831681691 | Bussey Physical Therapy, LLC | Clinic/Center | 10156 S 168th Ave Ste 3, Omaha, NE 68136-4240 | 2018-06-06 |
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 |
1760738652 | Mcguigan Physical Therapy Specialists LLC | Clinic/Center | 15825 W Maple Rd, Suite 102, Omaha, NE 68116-8253 | 2012-07-28 |
1659675635 | Physiotherapy Associates, Inc | Clinic/Center | 200 S 31st Ave, Suite 4101, Omaha, NE 68131-1404 | 2011-01-05 |
1932414604 | Community Rehab Inc. | Clinic/Center | 12301 No. 149th Circle, Ridgewood Clubhouse, Omaha, NE 68007 | 2010-08-18 |
1083859680 | The Rehab Guru, P.C. | Clinic/Center | 366 N 114th St, 16909 Burke St. Suite 200, Omaha, NE 68154-2517 | 2008-12-10 |
1174654388 | Occupational Health Centers of Nebraska, P.C. | Clinic/Center | 2900 F St, Omaha, NE 68107-1533 | 2007-03-08 |
1407987654 | Occupational Health Centers of Nebraska, P.C. | Clinic/Center | 9602 M St, Omaha, NE 68127-2053 | 2007-03-08 |
Find all providers in OMAHA |
Please comment or provide details below to improve the information on KELLY BEWLEY.
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.