| Mateo Soto, | |
|
2501 Capehart Rd # Ne68113, Offutt Afb, NE 68113-1043 | |
| (402) 232-2273 | |
| Not Available |
| Full Name | Mateo Soto |
|---|---|
| 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 |
|---|---|---|---|
| 1679295331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02123300 (New Jersey) | Primary |
| Provider Name | United Sports Care & Physical Therapy |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Mrs. Deeanne Cain, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-861-6683 |