STODDEN PHYSICAL THERAPYLLC NPI 1013031285

NPI Information

  • NPI: 1013031285
  • Provider Name: STODDEN PHYSICAL THERAPY,LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 11532 WILLOW PARK DR
    SU 100
    GRETNA, NE
    ZIP 68028
  • Phone: (402) 289-5013

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NPI Details

STODDEN PHYSICAL THERAPY,LLC is a specialist in Gretna, NE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STODDEN PHYSICAL THERAPY,LLC NPI is 1013031285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11532 WILLOW PARK DR
SU 100
GRETNA, NE
ZIP 68028-947
Phone: (402) 289-5013
Fax: (402) 289-5018

The provider's authorized official is Mike Stodden .
The authorized official title is President and has the following contact phone number (402) 289-5013.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist1604NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1216813OTHERCOVENTRY
210025488800MEDICAIDNEBRASKA
3278993MEDICARE PINNEBRASKA
439960OTHERNEBRASKABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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