| Go Physical Therapy, Llc | |
|
620 N Diers Ave, Suite 300, Grand Island, NE 68803-4985 | |
| (308) 382-0344 | |
| (308) 382-3241 |
| Full Name | Go Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 620 N Diers Ave, Grand Island, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184627911 | NPI | - | NPPES |
| NA2070 | Other | NE | MEDICARE PTAN |
| 100250456-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 681 (Nebraska) | Primary |
| Provider Name | Deborah Dailey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225115819 PECOS PAC ID: 2365413143 Enrollment ID: I20040804001235 |
| Provider Name | Jenny Kay Eberle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649368770 PECOS PAC ID: 7810943057 Enrollment ID: I20050330000739 |
| Provider Name | Brian M Dinkelman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396828836 PECOS PAC ID: 4385686146 Enrollment ID: I20050524001135 |
| Provider Name | Wendy R Rickard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922005578 PECOS PAC ID: 0244207868 Enrollment ID: I20051026000760 |
| Provider Name | Brian Lee Brunken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548266943 PECOS PAC ID: 0840217774 Enrollment ID: I20051029000009 |
| Provider Name | Kirk William Laughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740398767 PECOS PAC ID: 6204831076 Enrollment ID: I20060929000105 |
| Provider Name | Anya C Kerkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033227046 PECOS PAC ID: 1658376421 Enrollment ID: I20060929000120 |
| Provider Name | Carrie A Heermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013025014 PECOS PAC ID: 3274538046 Enrollment ID: I20060929000136 |
| Provider Name | Mary J Curran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447368428 PECOS PAC ID: 9234134016 Enrollment ID: I20060929000250 |
| Provider Name | Jeffrey J Maschka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174631105 PECOS PAC ID: 7214932086 Enrollment ID: I20061018000140 |
| Provider Name | Daniel J Sellon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073611638 PECOS PAC ID: 0345247797 Enrollment ID: I20061027000481 |
| Provider Name | Andrew J Consbruck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174589121 PECOS PAC ID: 8628163193 Enrollment ID: I20070927000969 |
| Provider Name | Patricia Jo Worden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558515932 PECOS PAC ID: 3476617515 Enrollment ID: I20090204000139 |
| Provider Name | Michelle L Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396971149 PECOS PAC ID: 0143372623 Enrollment ID: I20090714000493 |
| Provider Name | Stacy M Ladwig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477865434 PECOS PAC ID: 0648304261 Enrollment ID: I20100818001017 |
| Provider Name | Delton R Friesen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316908973 PECOS PAC ID: 5294850673 Enrollment ID: I20100910000198 |
| Provider Name | Gretchen S Sundberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841388295 PECOS PAC ID: 4183749765 Enrollment ID: I20100920000807 |
| Provider Name | Ann M Wardyn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306807656 PECOS PAC ID: 5294994315 Enrollment ID: I20120309000172 |
| Provider Name | Mary Walsh-sterup |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588625230 PECOS PAC ID: 6406750298 Enrollment ID: I20120313000013 |
| Provider Name | Pamela S Thomas Peters |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114988839 PECOS PAC ID: 4587823307 Enrollment ID: I20120313000898 |
| Provider Name | Rebecca A Seagren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982665220 PECOS PAC ID: 1557523065 Enrollment ID: I20120430000343 |
| Provider Name | Travis L Hedman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164481164 PECOS PAC ID: 0749442267 Enrollment ID: I20120430000463 |
| Provider Name | John D Holling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558322842 PECOS PAC ID: 9335308485 Enrollment ID: I20120430000621 |
| Provider Name | Michael A Kalvoda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821059577 PECOS PAC ID: 4688578487 Enrollment ID: I20120430000728 |
| Provider Name | Kurt Mccallum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649231390 PECOS PAC ID: 2264400415 Enrollment ID: I20120501000093 |
| Provider Name | Deb K Phinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487615761 PECOS PAC ID: 6204098635 Enrollment ID: I20120501000836 |
| Provider Name | Kent W Willburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700848603 PECOS PAC ID: 3476715806 Enrollment ID: I20120501000844 |
| Provider Name | Angela M Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760443410 PECOS PAC ID: 6204098502 Enrollment ID: I20120503000043 |
| Provider Name | Charles J Kral |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588813000 PECOS PAC ID: 2062483688 Enrollment ID: I20121108000147 |
| Provider Name | Carly Hiebner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689007569 PECOS PAC ID: 0345474037 Enrollment ID: I20131011001581 |
| Provider Name | Mollie M Maire |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609208479 PECOS PAC ID: 6709014707 Enrollment ID: I20140121001982 |
| Provider Name | Jessica E Woodward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952733008 PECOS PAC ID: 4587896345 Enrollment ID: I20140409000719 |
| Provider Name | Tyler W Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942618103 PECOS PAC ID: 2769600170 Enrollment ID: I20140827000647 |
| Provider Name | Brittany A Schuster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376944611 PECOS PAC ID: 9032338025 Enrollment ID: I20140924002252 |
| Provider Name | Bruce Albrecht |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083005946 PECOS PAC ID: 5294051520 Enrollment ID: I20150304002257 |
| Provider Name | Alexander J Bendt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841681772 PECOS PAC ID: 7810213147 Enrollment ID: I20150304002315 |
| Provider Name | Micah Kern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538409701 PECOS PAC ID: 8426375627 Enrollment ID: I20150327001406 |
| Provider Name | Joshua Buechler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548593478 PECOS PAC ID: 0143547034 Enrollment ID: I20150403000262 |
| Provider Name | Elizabeth Weber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760876940 PECOS PAC ID: 8921326331 Enrollment ID: I20150415001689 |
| Provider Name | Jennifer L Arndt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023498425 PECOS PAC ID: 9335452481 Enrollment ID: I20150717001234 |
| Provider Name | Noelle Boehle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861877136 PECOS PAC ID: 5395050041 Enrollment ID: I20150811003415 |
| Provider Name | Tasha Marie Dekok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366815300 PECOS PAC ID: 7113228321 Enrollment ID: I20151211002470 |
| Provider Name | Adam Liess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407205867 PECOS PAC ID: 1153612502 Enrollment ID: I20160615002106 |
| Provider Name | Ashlyn Cramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124478912 PECOS PAC ID: 1557652716 Enrollment ID: I20160617000750 |
| Provider Name | Megan K Classen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649446261 PECOS PAC ID: 0547556441 Enrollment ID: I20160831002911 |
| Provider Name | Polly Ubben |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225469075 PECOS PAC ID: 8123303864 Enrollment ID: I20170321001543 |
| Provider Name | Anthony Flores |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174050363 PECOS PAC ID: 5395012371 Enrollment ID: I20170523000453 |
| Provider Name | Matthew Giffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881123404 PECOS PAC ID: 5294003307 Enrollment ID: I20170614000814 |
| Provider Name | Alexandra Kuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013444595 PECOS PAC ID: 3971871757 Enrollment ID: I20170620001732 |
| Provider Name | Nathan Daniel Dickes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427283589 PECOS PAC ID: 4789734252 Enrollment ID: I20180514002677 |
| Provider Name | Morgan Fischer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508352840 PECOS PAC ID: 2062769771 Enrollment ID: I20180725002831 |
| Provider Name | Madison Hueftle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700362027 PECOS PAC ID: 9830447200 Enrollment ID: I20180801000527 |
| Provider Name | Logan Simonson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750940771 PECOS PAC ID: 8123353018 Enrollment ID: I20190715002744 |
| Provider Name | Dillon Loschen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376102038 PECOS PAC ID: 7315272994 Enrollment ID: I20190718002609 |
| Provider Name | Emilie Reisen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528627684 PECOS PAC ID: 0941535538 Enrollment ID: I20190718003012 |
| Provider Name | Abbey L Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982024113 PECOS PAC ID: 9335475979 Enrollment ID: I20190719001926 |
| Provider Name | William G Westman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225698319 PECOS PAC ID: 6507193760 Enrollment ID: I20190809002177 |
| Provider Name | Kristen Stelzer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871013391 PECOS PAC ID: 8921336355 Enrollment ID: I20190823000425 |
| Provider Name | Alexandra Moon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750931788 PECOS PAC ID: 1850620865 Enrollment ID: I20190916003337 |
| Provider Name | Mackenzie Aten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124679626 PECOS PAC ID: 0547591521 Enrollment ID: I20191004001708 |
| Provider Name | Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104291061 PECOS PAC ID: 1658709852 Enrollment ID: I20200323001618 |
| Provider Name | Makenna Blair Placzek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265034011 PECOS PAC ID: 3779995097 Enrollment ID: I20201210001229 |
| Provider Name | Betsy A Foltz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326642703 PECOS PAC ID: 7416369459 Enrollment ID: I20201215002166 |
| Provider Name | Tori C Ostransky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023588555 PECOS PAC ID: 2062826605 Enrollment ID: I20210122001242 |
| Provider Name | Joslynne Renae Opbroek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558950113 PECOS PAC ID: 6002220506 Enrollment ID: I20210125000822 |
| Provider Name | Olivia M Nekl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700555703 PECOS PAC ID: 4284032392 Enrollment ID: I20211004002241 |
| Provider Name | Kayla R Tuttle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689334054 PECOS PAC ID: 3375935711 Enrollment ID: I20220118000100 |
| Provider Name | Jennifer L Bollinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922183110 PECOS PAC ID: 0648175943 Enrollment ID: I20220118000448 |
| Provider Name | Whitney R Mumm |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629721493 PECOS PAC ID: 8123411071 Enrollment ID: I20220217000403 |
| Provider Name | Tyler Ryan Garrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184362477 PECOS PAC ID: 5597143461 Enrollment ID: I20220606000556 |
| Provider Name | Austin Ryan Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003555319 PECOS PAC ID: 0941688725 Enrollment ID: I20220607001791 |
| Provider Name | Lauren B Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730826595 PECOS PAC ID: 8426436007 Enrollment ID: I20220610000616 |
| Provider Name | Shaylynn Ella Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295453496 PECOS PAC ID: 4486037587 Enrollment ID: I20220823002560 |
| Provider Name | Abby Nicole Werkmeister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316673700 PECOS PAC ID: 8820464290 Enrollment ID: I20221026002795 |
| Provider Name | Rebecca Joy Meyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013659564 PECOS PAC ID: 5496129603 Enrollment ID: I20230329001529 |
| Provider Name | Mariah Christine Lenz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033848213 PECOS PAC ID: 8921463308 Enrollment ID: I20230509000667 |
| Provider Name | Maria Lynne Caskey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285243584 PECOS PAC ID: 5193183259 Enrollment ID: I20230621002741 |
| Provider Name | Joel Lawrence Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740973056 PECOS PAC ID: 6608235288 Enrollment ID: I20230629001291 |
| Provider Name | Amanda Lynn Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447936737 PECOS PAC ID: 4981063500 Enrollment ID: I20230629002811 |
| Provider Name | Anastasia Marie Meyerle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326723271 PECOS PAC ID: 5294194064 Enrollment ID: I20230711003940 |
| Provider Name | Taylor B Kohlwey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407410046 PECOS PAC ID: 9133589393 Enrollment ID: I20230719002362 |
| Provider Name | Lanette M Kinne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932840436 PECOS PAC ID: 3476914060 Enrollment ID: I20230728002506 |
| Provider Name | Whitney L Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790414373 PECOS PAC ID: 7214399906 Enrollment ID: I20230811002108 |
| Provider Name | Hayden Penny |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497536460 PECOS PAC ID: 0143675926 Enrollment ID: I20231013002760 |
| Provider Name | Macy Mckenna Lesiak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316725344 PECOS PAC ID: 7315392198 Enrollment ID: I20231013002823 |
| Provider Name | Brendon Timothy Menke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144092453 PECOS PAC ID: 9931557592 Enrollment ID: I20231121001994 |
| Provider Name | Brittany Anne Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235978586 PECOS PAC ID: 6406398411 Enrollment ID: I20240605003933 |
| Provider Name | Faith Radebaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245070770 PECOS PAC ID: 0547702342 Enrollment ID: I20240607002787 |
| Provider Name | Haylee Nicole Sheffield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053096958 PECOS PAC ID: 3971045477 Enrollment ID: I20240612002137 |
| Provider Name | Andrea Maree Zulauf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295576239 PECOS PAC ID: 2062954407 Enrollment ID: I20240612004175 |
| Provider Name | Allison Leigh Quinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053153213 PECOS PAC ID: 2567905631 Enrollment ID: I20240617003674 |
| Provider Name | Abigail Mae Bardales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033950407 PECOS PAC ID: 3173066933 Enrollment ID: I20240620003658 |
| Provider Name | Madison Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801645387 PECOS PAC ID: 8527502814 Enrollment ID: I20240627001730 |
| Provider Name | Audrey Rebecca Keim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780425280 PECOS PAC ID: 0244774982 Enrollment ID: I20240705000051 |
| Provider Name | Jasmine M Garth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508272667 PECOS PAC ID: 7911127089 Enrollment ID: I20240828000627 |
| Provider Name | Jennakah Burke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184457293 PECOS PAC ID: 3779023668 Enrollment ID: I20240905004547 |
| Provider Name | Mikayla Anne Langdon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811721210 PECOS PAC ID: 5395285829 Enrollment ID: I20240910004539 |
| Provider Name | Mary Wharry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730912239 PECOS PAC ID: 0446791362 Enrollment ID: I20240919000502 |
| Provider Name | Christina Tran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780402016 PECOS PAC ID: 0244761609 Enrollment ID: I20241009002647 |
| Provider Name | Kylie Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518786334 PECOS PAC ID: 7911439476 Enrollment ID: I20241022002869 |
| Provider Name | Elizabeth Pearl Borer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649876574 PECOS PAC ID: 0547672917 Enrollment ID: I20241205001243 |
| Provider Name | Jade Max |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477360717 PECOS PAC ID: 3971030628 Enrollment ID: I20241219002564 |
| Provider Name | Lesley Dawn Baumgart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376314245 PECOS PAC ID: 0042720781 Enrollment ID: I20250611001048 |
| Mailing Address | Practice Location Address |
|---|---|
| Go Physical Therapy, Llc Po Box 5285, Grand Island, NE 68802-5285 Ph: (308) 382-0344 | Go Physical Therapy, Llc 620 N Diers Ave, Suite 300, Grand Island, NE 68803-4985 Ph: (308) 382-0344 |
Integrated Therapy Of Grand Island Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 819 N Diers Ave Ste 7, Grand Island, NE 68803 Phone: 308-270-3828 | |
Tiffany Ann Lueck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3004 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5170 Fax: 308-398-5175 | |
Elizabeth Dixson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 603 N Diers Ave Ste 1, Grand Island, NE 68803 Phone: 308-389-4418 Fax: 308-389-4419 | |
Alicia Butterfield, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 610 N Darr Ave, Grand Island, NE 68803 Phone: 308-382-2635 Fax: 308-382-0418 | |
Mitchell Thompson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 S Locust St, Grand Island, NE 68801 Phone: 308-382-9700 | |
Nicholas Rech, PT,DPT,MS,ATC,CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2116 Independence Ave, Grand Island, NE 68803 Phone: 402-641-3176 Fax: 402-817-5568 | |
Misty Woltman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3213 W. North Front St., Grand Island, NE 68803 Phone: 308-381-2424 Fax: 308-381-3646 |