Provider Demographics
NPI:1073854295
Name:TEAM PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:TEAM PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS & PERSONNEL
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:308-872-5111
Mailing Address - Street 1:3811 CENTRAL AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8173
Mailing Address - Country:US
Mailing Address - Phone:308-237-0591
Mailing Address - Fax:308-237-4251
Practice Address - Street 1:3811 CENTRAL AVE
Practice Address - Street 2:SUITE F
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8173
Practice Address - Country:US
Practice Address - Phone:308-237-0591
Practice Address - Fax:308-237-4251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEAM PHYSICAL THERAPY, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-13
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty