Provider Demographics
NPI:1306824867
Name:ACHIEVE PC
Entity Type:Organization
Organization Name:ACHIEVE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:INSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:402-502-4678
Mailing Address - Street 1:11511 S 42ND ST
Mailing Address - Street 2:STE 106
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-1000
Mailing Address - Country:US
Mailing Address - Phone:402-502-4678
Mailing Address - Fax:402-933-9137
Practice Address - Street 1:11511 S 42ND ST STE 106
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1089
Practice Address - Country:US
Practice Address - Phone:402-502-4678
Practice Address - Fax:402-933-9137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEF248744OtherMIDLANDS CHOICE
099760Medicare UPIN