Provider Demographics
NPI:1639266307
Name:YORK PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:YORK PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:I
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-362-2929
Mailing Address - Street 1:2835 N NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-8096
Mailing Address - Country:US
Mailing Address - Phone:402-362-2929
Mailing Address - Fax:402-362-3133
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:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECG6190OtherRR MEDICARE
NECG6190OtherRR MEDICARE
NE=========13Medicaid