ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1790275584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790275584 |
| Entity Type | Organization |
| Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
| Other Organization Name | EXCEL PHYSICAL THERAPY |
| Practice Address |
5633 S 16th St Ste 600 Lincoln NE 68512-1423 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4028171750 |
| Practice Fax Number | 4024083555 |
| Mailing Telephone | 6305751980 |
| Mailing Fax Number | 6309285080 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | JUANA GRANADOS (DELEGATED OFFICIAL) |
| 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 |
| 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 |
| 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 |
5633 S 16TH ST STE 600 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68512-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699883561 | Duane E Wade | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
| 1568961530 | Japhia Warren | Licensed Practical Nurse | 7001 S. 14th Street, Lincoln, NE 68512 | 2018-02-06 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1447774427 | Adjusted Life Chiropractic LLC | Chiropractor | 2601 Jamie Ln, Ste 104, Lincoln, NE 68512 | 2017-08-01 |
| 1144740101 | Spencer Norton Brown | Chiropractor | 2600 Jamie Ln, Suite 104, Lincoln, NE 68512 | 2017-06-21 |
| 1669826293 | Shaun Stinson | Dentist | 6835 S. 27th St., Ste 2, Lincoln, NE 68512 | 2016-04-20 |
| 1407100324 | Robert M. Lane | Chiropractor | 1245 Libra Dr., Suite 100, Lincoln, NE 68512 | 2012-10-30 |
| 1689782609 | Lynette S Erickson | Counselor | 5539 S 27th, Suite 101, Lincoln, NE 68512 | 2006-08-29 |
| 1548779739 | Costco Wholesale Corportation | Hearing Aid Equipment | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1245749449 | Costco Wholesale Corportation | Eyewear Supplier (Equipment, not the service) | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| Find all providers in zip 68512 | ||||
| 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 |
|---|---|---|---|---|
| 1851903967 | Lincoln Tongue Tie Center LLC | Clinic/Center | 5760 S 86th St Ste 2, Lincoln, NE 68526-6053 | 2020-08-19 |
| 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 |
| 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 |
| 1144732728 | Sage Nutrition LLC | Clinic/Center | 2917 Pine Lake Rd Ste E, Lincoln, NE 68516-6032 | 2017-11-03 |
| 1659805109 | Amy Pandorf | Clinic/Center | 2231 Independence Dr, Lincoln, NE 68521-1121 | 2017-04-11 |
| 1831548627 | Care Clinic Now PC | Clinic/Center | 7121 Stephanie Ln Ste 100a, Lincoln, NE 68516-5359 | 2016-06-13 |
| 1831252121 | The Express Clinic, LLC | Clinic/Center | 2525 Pine Lake Road Practice Location 68512, Po 23048 68542, Lincoln, NE 68542 | 2006-12-18 |
| 1801418744 | Huffman Spine & Sports Chiropractic LLC | Clinic/Center | 4130 Pioneer Woods Dr Ste 3, Lincoln, NE 68506-7552 | 2020-05-14 |
| Find all providers in LINCOLN | ||||
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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.