Provider Demographics
NPI:1467490672
Name:JAY BURR INC
Entity Type:Organization
Organization Name:JAY BURR INC
Other - Org Name:NEUROSCIENCE PHYSIOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PTA/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NUTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:402-393-7766
Mailing Address - Street 1:8005 FARNAM DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3426
Mailing Address - Country:US
Mailing Address - Phone:402-393-7766
Mailing Address - Fax:402-393-7761
Practice Address - Street 1:8005 FARNAM DR
Practice Address - Street 2:SUITE 303
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3426
Practice Address - Country:US
Practice Address - Phone:402-393-7766
Practice Address - Fax:402-393-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECK7554OtherRAILROAD MEDICARE
NECK7554OtherRAILROAD MEDICARE
NE=========00OtherNE MEDICAID
NE098988Medicare ID - Type UnspecifiedMEDICARE