ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1740743327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740743327 |
| Entity Type | Organization |
| Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
| Practice Address |
18940 Evans St #106 Elkhorn NE 68022 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4024080507 |
| Practice Fax Number | 4022985370 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| 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 |
|---|---|
| Athletico 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 |
| 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 |
| 1548760077 | Athletico Excel Nebraska, LLC | Physical Therapist | 3301 E Elkhorn Dr Ste 200, Fremont, NE 68025-6240 | 2018-02-21 |
| 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 |
18940 EVANS ST #106 |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| 1902187321 | Lauren Abigail Lennard | Physical Therapist | 1405 N 205th St. Suite 140, Elkhorn, NE 68022 | 2011-08-30 |
| Find all providers in zip 68022 | ||||
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1851903967 | Lincoln Tongue Tie Center LLC | Clinic/Center | 5760 S 86th St Ste 2, Lincoln, NE 68526-6053 | 2020-08-19 |
| 1083225817 | Kubat Clinical Services LLC | Clinic/Center | 4924 Center St # A-1, Omaha, NE 68106-3219 | 2020-08-14 |
| 1396365052 | Therapeutic Procedures PC | Clinic/Center | 701 Pinnacle Dr, Papillion, NE 68046-6224 | 2020-04-23 |
| 1245882778 | Hospice Community Care of Nebraska, LLC | Clinic/Center | 300 S 68th Street Pl Ste 205, Lincoln, NE 68510-2450 | 2019-07-15 |
| 1700353992 | Ascend Chiropractic, LLC | Clinic/Center | 5611 Nw 1st St Ste 105, Lincoln, NE 68521-4469 | 2018-10-26 |
| 1134694730 | Joyful Heart House Calls, LLC | Clinic/Center | 2903 Cape Horn Cir, Plattsmouth, NE 68048-7159 | 2018-10-10 |
| 1255834982 | Ks Old Cheney, LLC | Clinic/Center | 6450 O St Ste 2, Lincoln, NE 68510-2369 | 2018-03-08 |
| 1144721820 | Ideal Option, Pllc | Clinic/Center | 600 N Cotner Blvd Ste 101, Lincoln, NE 68505-2343 | 2018-02-27 |
| 1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
| 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.