Provider Demographics
NPI:1033202833
Name:SPIER PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:SPIER PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SPIER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:402-371-2722
Mailing Address - Street 1:3200 RAASCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3455
Mailing Address - Country:US
Mailing Address - Phone:402-371-2722
Mailing Address - Fax:402-371-3313
Practice Address - Street 1:3200 RAASCH DRIVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3455
Practice Address - Country:US
Practice Address - Phone:402-371-2722
Practice Address - Fax:402-371-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1391225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39740OtherBLUE CROSS BLUE SHIELD
NE10024971100Medicaid
NEDA8219OtherRAILROAD MEDICARE
NEDA8219OtherRAILROAD MEDICARE