Wellspring Physical Therapy Pc

LBN: Wellspring Physical Therapy Pc
Wellspring Physical Therapy Pc is an health care organization with primary practice located at 17055 Frances St #102, Omaha NE 68130-4655. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Wellspring Physical Therapy Pc can be contacted via phone (402) 934-9711, or through Potach, Lauren M via phone (402) 934-9711.

Contact Information

Primary practice address
17055 Frances St #102 Omaha NE 68130-4655
Phone: (402) 934-9711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potach, Lauren M Physical Therapist (PT)
Phone: (402) 934-9711

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1013056944
LBN Legal business name Wellspring Physical Therapy Pc
DBA Doing business as
Authorized official Potach, Lauren M Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated May 31st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013056944 NPPES
Nebraska MEDICAID 10025266100

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