Provider Demographics
NPI:1447580006
Name:MCMY PT CORP
Entity Type:Organization
Organization Name:MCMY PT CORP
Other - Org Name:YORK PHYSICAL THERAPY/MILFORD PHYSICAL THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:402-216-9329
Mailing Address - Street 1:9515 PINE CREST RD
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-6580
Mailing Address - Country:US
Mailing Address - Phone:402-216-9329
Mailing Address - Fax:402-933-0200
Practice Address - Street 1:2835 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-8096
Practice Address - Country:US
Practice Address - Phone:402-362-2929
Practice Address - Fax:402-362-3133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty