ATHLETICO EXCEL NEBRASKA, LLC (NPI# 1790331601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790331601 |
| Entity Type | Organization |
| Organization Name | ATHLETICO EXCEL NEBRASKA, LLC |
| Practice Address |
16918 Morgan Avenue Ste 11 Gretna NE 68136 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4024080599 |
| Practice Fax Number | 4025039410 |
| Mailing Telephone | 6305751980 |
| Mailing Fax Number | 6309285080 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| 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 | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical 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 |
|---|---|---|---|---|
| 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 |
| 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 |
16918 MORGAN AVENUE STE 11 |
| City | GRETNA |
| State | NE |
| Zip Code | 68136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1942727821 | J and A Walter LLC | Optometrist | 9979 South 168th Ave., Omaha, NE 68136 | 2017-08-23 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1922271832 | Gosch Family Dental P.C. | Dentist | 9850 S 168th Ave, Suite #4, Omaha, NE 68136 | 2008-04-11 |
| 1225228521 | Jeremy Dean Beranek | Specialist/Technologist | 16118 Emiline St, Omaha, NE 68136 | 2007-08-01 |
| 1396967774 | Heartland Software Services, Inc | Specialist | 9905 South 176th Street, Omaha, NE 68136 | 2007-05-03 |
| 1720157209 | Optimal Health Dental PC | Dentist | 6909 S 157th St, Suite C, Omaha, NE 68136 | 2006-11-07 |
| 1932214475 | Tiburon Family Dental PC | Dentist | 16919 Audrey St, Suite 40, Omaha, NE 68136 | 2006-08-21 |
| 1023290459 | Laura Elizabeth Reardon | Psychologist | 8343 S. 168th Ave, Omaha, NE 68136-0001 | 2007-11-27 |
| 1548595168 | Claire A Cunningham | Counselor | 9839 S 168th Ave, Suite 2c, Omaha, NE 68136-1113 | 2009-10-15 |
| Find all providers in zip 68136 | ||||
| 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 |
|---|---|---|---|---|
| 1992322010 | Tyra Cole | Clinic/Center | 405 Gretna Blvd Ste 112, Gretna, LA 70053-4945 | 2020-07-06 |
| 1497250609 | Ultimate Healing Wellness Center, LLC | Clinic/Center | 2856 Glenbrook Dr, Gretna, LA 70056-7910 | 2018-03-28 |
| 1578940060 | J.m. Fortino, Md Amedical Corporation | Clinic/Center | 1301 Whitney Ave, Gretna, LA 70056-5025 | 2015-05-04 |
| 1578985677 | Aids Healthcare Foundation | Clinic/Center | 2600 Belle Chasse Hwy, Suite 204, Gretna, LA 70056 | 2014-01-09 |
| 1962702175 | Daniel A Long Md A Professional Medical Corporation | Clinic/Center | 120 Meadowcrest St, #330, Gretna, LA 70056-5255 | 2010-10-22 |
| 1992980189 | Chiropractic Clinic of Gretna | Clinic/Center | 548 Lapalco Blvd, Gretna, LA 70056-7305 | 2008-01-07 |
| 1386626356 | Pediatrics Kid-med, LLC | Clinic/Center | 120 Meadowcrest St, Suite 245, Gretna, LA 70056-5255 | 2005-11-16 |
| 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 | ||||
Please comment or provide details below to improve the information on ATHLETICO EXCEL NEBRASKA, LLC.
| 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.