Provider Demographics
NPI:1760738652
Name:TRINITY PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:TRINITY PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCGUIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:402-238-9991
Mailing Address - Street 1:4006 N 144TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4206
Mailing Address - Country:US
Mailing Address - Phone:402-885-8855
Mailing Address - Fax:
Practice Address - Street 1:4006 N 144TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-4206
Practice Address - Country:US
Practice Address - Phone:402-885-8855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-28
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2011261QP2000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy