Provider Demographics
NPI:1235394669
Name:BEATRICE PHYSICAL THERAPY & HELATH CLINIC
Entity Type:Organization
Organization Name:BEATRICE PHYSICAL THERAPY & HELATH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:RPT REGISTERED PHYSI
Authorized Official - Phone:402-228-3711
Mailing Address - Street 1:301 SOUTH 6TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-4400
Mailing Address - Country:US
Mailing Address - Phone:402-228-3711
Mailing Address - Fax:402-228-3711
Practice Address - Street 1:301 SOUTH 6TH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-4400
Practice Address - Country:US
Practice Address - Phone:402-228-3711
Practice Address - Fax:402-228-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE52225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEF233770OtherMIDLANDS CHOICE
685456OtherUNITED HELATHCARE ACN GROUP
NE9101OtherBCBS OF NEBR
650001946OtherRAILROAD MEDICARE
NE9101OtherBCBS OF NEBR
=========OtherTRI CARE
NE=========00Medicaid