FAMILY PHYSICAL THERAPY & SPORTS CENTER (NPI# 1326551532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326551532 |
| Entity Type | Organization |
| Organization Name | FAMILY PHYSICAL THERAPY & SPORTS CENTER |
| Other Organization Name | FAMILY PHYSICAL THERAPY & CHIROPRACTIC SERVICES |
| Practice Address |
3500 Central Ave Ste D Kearney NE 68847-2917 |
| Mailing Address |
211 W. 33rd Street Suite A Kearney NE 68845-3484 |
| Practice Telephone | 3088659200 |
| Mailing Telephone | 3084527154 |
| Mailing Fax Number | 3084523394 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | GREGORY BRANDON FIDDELKE (BUSINESS MANAGER) |
| Authorized Official Telephone | 3084527154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1928 | NE | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Family Physical Therapy & Chiropractic Services | Doing Business As Name - Organization |
| Family Physical Therapy and Chiropractic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407038375 | Family Physical Therapy & Sports Center | Occupational Therapist | 615 W 39th St, Suite A, Kearney, NE 68845-8001 | 2007-12-03 |
| 1942417852 | Family Physical Therapy & Sports Center | Physical Therapist | 321 Grand Ave, Ravenna, NE 68869 | 2007-05-17 |
| 1356373658 | Family Physical Therapy & Sports Center | Physical Therapist | 211 W 33rd St, Suite A, Kearney, NE 68845-3456 | 2006-07-07 |
| Street Address |
3500 CENTRAL AVE STE D |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891211645 | Craig Payne | Chiropractor | 3500 Central Ave Ste D, Kearney, NE 68847-2917 | 2017-08-14 |
| 1295219921 | Elizabeth Klinginsmith | Physical Therapist | 3500 Central Ave Ste D, Kearney, NE 68847-2917 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690732 | Dawson Green | Chiropractor | 182 W 92 Hwy, Kearney, MO 64060-7593 | 2020-02-05 |
| 1235649930 | Adjusted for Life Family Chiropractic LLC | Chiropractor | 105 S Jefferson St Ste B3, Kearney, MO 64060-8833 | 2017-10-07 |
| 1891211645 | Craig Payne | Chiropractor | 3500 Central Ave Ste D, Kearney, NE 68847-2917 | 2017-08-14 |
| 1578918173 | Schrock Chiropractic/acupuncture, PC | Chiropractor | 5911 2nd Ave W, Kearney, NE 68847-1581 | 2016-05-02 |
| 1457779076 | Reese Tyrell Florang | Chiropractor | 2214 2nd Ave, Kearney, NE 68847-5315 | 2014-04-01 |
| 1831439033 | Tyler James Kowalski | Chiropractor | 4010 6th Ave Ste A, Kearney, NE 68845-3393 | 2013-02-25 |
| 1487912358 | Andrew Spracklin | Chiropractor | 2119 Central Ave, Kearney, NE 68847-5303 | 2012-04-30 |
| 1861750796 | Ashley Marie Noble-amerson | Chiropractor | 607 W State Route 92 Ste Cc, Kearney, MO 64060-7521 | 2012-04-28 |
| 1922305697 | Fread Family Chiropractic, P.C. | Chiropractor | 5308 Parklane Dr Ste 5, Kearney, NE 68847-8629 | 2011-02-16 |
| 1295035814 | Cory J Stickney | Chiropractor | 8 W 56th St Ste A-1, Kearney, NE 68847-0505 | 2010-10-29 |
| Find all providers in KEARNEY | ||||
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| 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.