CHILDREN'S REHAB PHYSICAL THERAPY NPI 1487988119

NPI Information

  • NPI: 1487988119
  • Provider Name: CHILDREN'S REHAB PHYSICAL THERAPY
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • CLIA Number: 28D2142043
  • Address: 17809 PIERCE PLZ
    CHILDREN'S REHAB - PHYSICAL THERAPY
    OMAHA, NE
    ZIP 68130
  • Phone: (402) 955-8355

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NPI Details

CHILDREN'S REHAB PHYSICAL THERAPY is a pediatrics physical therapist in Omaha, NE. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. CHILDREN'S REHAB PHYSICAL THERAPY NPI is 1487988119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17809 PIERCE PLZ
CHILDREN'S REHAB - PHYSICAL THERAPY
OMAHA, NE
ZIP 68130-035
Phone: (402) 955-8355
Fax: (402) 955-8356

The provider's authorized official is Lori Knight .
The authorized official title is Credentialing Specialist and has the following contact phone number (402) 955-6903.

The CLIA number assigned to this NPI record is 28D2142043 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 3/4/2016.

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
12251P0200XPhysical TherapistPediatricsYes

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
110025747400MEDICAIDNEBRASKA

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: 11/21/2025

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