BRENDA L GAWRYCH (NPI# 1740568161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740568161 |
| Entity Type | Individual |
| Full Name | BRENDA L GAWRYCH |
| Credential | DPT |
| Practice Address |
3131 N 267th Plz Waterloo NE 68069-5833 |
| Practice Telephone | 4022167561 |
| Mailing Telephone | 4022167561 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
4713 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2364 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3131 N 267TH PLZ |
| City | WATERLOO |
| State | NE |
| Zip Code | 68069-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265596183 | Waterloo Fire Department | Ambulance | 4th & North Front St, Waterloo, NE 68069 | 2006-12-22 |
| 1265649131 | Cynthia S Meier | Counselor | 201 3rd Street, Waterloo, NE 68069-0279 | 2007-05-17 |
| 1003420100 | Paige Stanzel | Physician Assistant | 610 Jefferson St, Waterloo, NE 68069-2212 | 2020-09-04 |
| 1194042788 | Waterloo Fire and Rescue | Ambulance | 405 7th St, Waterloo, NE 68069-2245 | 2010-04-23 |
| 1649804451 | Carnahan Pediatric Therapy, LLC | Physical Therapist | 800 N Front St Ste 510, Waterloo, NE 68069-2249 | 2020-03-02 |
| 1245361260 | Carl F Dorner IIi | Counselor | 23506 F St # 5, Waterloo, NE 68069-4209 | 2007-03-08 |
| 1568076594 | Michelle Ann Tsatsos | Speech-Language Pathologist | 24918 Mason St, Waterloo, NE 68069-4434 | 2020-09-08 |
| 1134408321 | Kristin Jean Korth | Occupational Therapist | 134 N 248th Cir, Waterloo, NE 68069-4690 | 2011-08-05 |
| 1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| Find all providers in zip 68069 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336691385 | Lorela Paronable | Physical Therapist | 3202 N 171st Ave, Omaha, NE 68116-2348 | 2016-10-25 |
| 1598018046 | Ditta Huser | Physical Therapist | 15236 Garfield St, Omaha, NE 68144-5408 | 2012-10-22 |
| 1356602718 | Stephanie Stevens | Physical Therapist | 12393 B Rd, Polk, NE 68654 | 2012-06-01 |
| 1780827998 | Lance Destefano | Physical Therapist | 1622 Walnut St, Syracuse, NE 68446-7017 | 2009-04-17 |
| 1639724677 | Lydia Katherine Moore | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2019-08-06 |
| 1740834811 | Morgan Soucie | Physical Therapist | 926 E E St, Hastings, NE 68901-6617 | 2019-07-28 |
| 1487214391 | Lacy Rae Phillips | Physical Therapist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-13 |
| 1609328392 | Jenna Rose Engelken | Physical Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-27 |
| 1013468123 | Ann Elizabeth Kastrup | Physical Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-24 |
| 1023470630 | Christine Montes | Physical Therapist | 450 E 23rd St, Fremont, NE 68025-2303 | 2016-03-23 |
| Find all providers with the same taxonomy | ||||
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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.