ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1548760077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548760077 |
| Entity Type | Organization |
| Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
| Other Organization Name | EXCEL PHYSICAL THERAPY |
| Practice Address |
3301 E Elkhorn Dr Ste 200 Fremont NE 68025-6240 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4027210235 |
| Practice Fax Number | 4027216167 |
| Mailing Telephone | 6305751980 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Excel Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790331601 | Athletico Excel Nebraska, LLC | Occupational Therapist | 16918 Morgan Avenue, Ste 11, Gretna, NE 68136 | 2019-08-15 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1477012177 | Athletico Excel Nebraska, LLC | Physical Therapist | 200 N 66th St # 20, Lincoln, NE 68505-2575 | 2019-03-13 |
| 1013407733 | Athletico Excel Nebraska, LLC | Physical Therapist | 3301 Dodge St Bldg 1, Omaha, NE 68131-3416 | 2018-05-17 |
| 1205336765 | Athletico Excel Nebraska, LLC | Occupational Therapist | 2953 S 168th St Ste 100, Omaha, NE 68130-2000 | 2018-02-20 |
| 1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
| 1396235016 | Athletico Excel Nebraska, LLC | Physical Therapist | 7818 Dodge St, Omaha, NE 68114-3412 | 2018-05-17 |
| 1790275584 | Athletico Excel Nebraska, LLC | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512-1423 | 2018-05-16 |
| 1265932792 | Athletico Excel Nebraska, LLC | Physical Therapist | 603 N Diers Ave Ste 1, Grand Island, NE 68803-4987 | 2018-02-21 |
| 1801396338 | Athletico Excel Nebraska, LLC | Physical Therapist | 2021 23rd St, Columbus, NE 68601-3427 | 2018-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ATHLETICO EXCEL NEBRASKA, LLC | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Street Address |
3301 E ELKHORN DR STE 200 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-6240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1295349132 | Guiding Hands Rehab, Inc. | Clinic/Center | 606 W State St, Fremont, OH 43420-2534 | 2020-09-08 |
| 1518367846 | Golder Stone International, Inc | Clinic/Center | 46249 Warm Springs Blve Suite 1, Fremont, CA 94539 | 2014-08-22 |
| 1356611636 | Dr. Richard K. Skala Dc Qme Chiropractic Corporation | Clinic/Center | 5500 Stewart Ave, #113, Fremont, CA 94538-3100 | 2012-01-04 |
| 1962687566 | Columbia Asthma & Allergy Clinic | Clinic/Center | 3448 Mowry Ave, Fremont, CA 94538 | 2008-01-02 |
| 1053435248 | California Cardiovascular Consultant Medical Associates | Clinic/Center | 1900 Mowry Ave Ste 309, Fremont, CA 94538-1722 | 2007-03-16 |
| 1780292870 | American Current Care of California | Clinic/Center | 3161 Walnut Ave, Fremont, CA 94538-2216 | 2020-07-15 |
| 1225561103 | Lara T. San Pedro, Psy.d., A Psychological Corporation | Clinic/Center | 39210 State St, Suite 200, Fremont, CA 94538-1456 | 2017-04-06 |
| 1750749891 | Hoda Spine & Msk Pain Company, Inc | Clinic/Center | 1860 Mowry Ave, Ste. 401, Fremont, CA 94538-1730 | 2016-02-03 |
| 1396053294 | Act Acupuncture Clinic Corp | Clinic/Center | 40788 Fremont Blvd, Fremont, CA 94538-4373 | 2010-09-14 |
| 1356664072 | Fremont Chiropractic Clinic PC | Clinic/Center | 415 E 23rd St, Suite 201, Fremont, NE 68025-2393 | 2010-03-09 |
| Find all providers in FREMONT | ||||
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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.