Mateo Soto, | |
2501 Capehart Rd # Ne68113, Offutt Afb, NE 68113-1043 | |
(402) 232-2273 | |
Not Available |
Full Name | Mateo Soto |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2501 Capehart Rd # Ne68113, Offutt Afb, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679295331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02123300 (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Provider Name | United Sports Care & Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1972881233 PECOS PAC ID: 9436324886 Enrollment ID: O20111213000548 |
Provider Name | Sportscare Of America, Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851484380 PECOS PAC ID: 9032213756 Enrollment ID: O20150917000430 |
Mailing Address | Practice Location Address |
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Mateo Soto, 2501 Capehart Rd # Ne68113, Offutt Afb, NE 68113-1043 Ph: (402) 232-2273 | Mateo Soto, 2501 Capehart Rd # Ne68113, Offutt Afb, NE 68113-1043 Ph: (402) 232-2273 |
Joseph A Vance, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-8509 | |
Kenneth Williams, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-8509 | |
Brittny Cajacob, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-8509 | |
Mrs. Deeanne Cain, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-861-6683 |