Provider Demographics
NPI:1275885675
Name:HAUSMANN PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:HAUSMANN PHYSICAL THERAPY PC
Other - Org Name:PIERCE PHYSICAL THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS MANGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:NASH
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-329-4050
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PIERCE
Mailing Address - State:NE
Mailing Address - Zip Code:68767-0008
Mailing Address - Country:US
Mailing Address - Phone:402-329-4050
Mailing Address - Fax:402-329-6484
Practice Address - Street 1:105 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PIERCE
Practice Address - State:NE
Practice Address - Zip Code:68767-1343
Practice Address - Country:US
Practice Address - Phone:402-329-4050
Practice Address - Fax:402-329-4057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2667261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy