| Exstrom Physical Therapy Inc | |
|
3818 Normal Blvd, Lincoln, NE 68506 | |
| (402) 488-4282 | |
| (402) 488-6157 |
| Full Name | Exstrom Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3818 Normal Blvd, Lincoln, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386776078 | NPI | - | NPPES |
| 100249565-00 | Medicaid | NE | |
| 10024956500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Thomas L Harmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295882660 PECOS PAC ID: 4587729207 Enrollment ID: I20101203001279 |
| Provider Name | Denise Anne Exstrom Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174661581 PECOS PAC ID: 5193785236 Enrollment ID: I20110209000114 |
| Provider Name | Brenden J. Love |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487243689 PECOS PAC ID: 6507272242 Enrollment ID: I20210304001089 |
| Provider Name | Derek Michael David |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639740426 PECOS PAC ID: 3779986997 Enrollment ID: I20210726003550 |
| Mailing Address | Practice Location Address |
|---|---|
| Exstrom Physical Therapy Inc 3818 Normal Blvd, Lincoln, NE 68506 Ph: (402) 488-4282 | Exstrom Physical Therapy Inc 3818 Normal Blvd, Lincoln, NE 68506 Ph: (402) 488-4282 |
Mrs. Mary Lucille Long, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 South St, Lincoln, NE 68506 Phone: 402-489-7102 Fax: 402-486-9098 | |
Jane E Kerl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 S 54th St, Lincoln, NE 68516 Phone: 402-488-0977 | |
Mrs. Rikki Frey, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 South St, Lincoln, NE 68502 Phone: 402-441-7101 | |
Austin Ryan Becker, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2510 S 40th St Ste 200, Lincoln, NE 68506 Phone: 402-486-3333 Fax: 402-486-3349 | |
Carrie A Heermann, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1601 N 86th St Ste 300, Lincoln, NE 68505 Phone: 402-327-7515 Fax: 402-327-7513 | |
Ms. Crystal Gayle Hollatz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 South St, Lincoln, NE 68506 Phone: 402-489-7102 Fax: 402-486-9098 | |
Suzanne K Wing-dougherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Vandervoort Dr Ste A, Lincoln, NE 68516 Phone: 402-420-2099 Fax: 402-420-2823 |