Athletico Physical Therapy - Medicare Primary Care in Lincoln, NE

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Athletico Physical Therapy is a medicare enrolled primary clinic (Clinic/center) in Lincoln, Nebraska. The current practice location for Athletico Physical Therapy is 200 N 66th St Ste 20, Lincoln, Nebraska. For appointments, you can reach them via phone at (402) 327-1433. The mailing address for Athletico Physical Therapy is 2122 York Rd Ste 300, Oak Brook, Illinois and phone number is (630) 575-1980.

Athletico Physical Therapy is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1912670753. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (402) 327-1433.

Contact Information

Athletico Physical Therapy
200 N 66th St Ste 20
Lincoln
NE 68505-2690
(402) 327-1433
(402) 972-8855

Map and Direction


Primary Care Clinic Profile

Full NameAthletico Physical Therapy
SpecialityClinic/Center
Location200 N 66th St Ste 20, Lincoln, Nebraska
Authorized Official Name and PositionJuana Granados (CREDENTIALING MANAGER)
Authorized Official Contact6305751980
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Athletico Physical Therapy
2122 York Rd Ste 300
Oak Brook
IL 60523-1925

Ph: (630) 575-1980		Athletico Physical Therapy
200 N 66th St Ste 20
Lincoln
NE 68505-2690

Ph: (402) 327-1433

NPI Details:

NPI Number1912670753
Provider Enumeration Date07/28/2021
Last Update Date07/28/2021
Certification Date07/28/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4789602681
Medicare Enrollment IDO20210902002037

Medical Identifiers

Medical identifiers for Athletico Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912670753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center ()Primary
225100000XPhysical Therapist ()Secondary
225X00000XOccupational Therapist ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Athletico Physical Therapy acts as a billing entity for following providers:
Provider NameDarcie Lynn Hahm
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750499737
PECOS PAC ID: 4587698303
Enrollment ID: I20050921000785
Provider NameStacy R Kersten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942206339
PECOS PAC ID: 6800813106
Enrollment ID: I20051026000651
Provider NameGerald E Jacobi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346249398
PECOS PAC ID: 5597790303
Enrollment ID: I20051026000909
Provider NameJamie L Jazwick-jakob
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811967938
PECOS PAC ID: 2163457961
Enrollment ID: I20051027000498
Provider NameChris Alan Wormuth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376536748
PECOS PAC ID: 3274550496
Enrollment ID: I20051027000539
Provider NameNeal Andrew Wachholtz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255390951
PECOS PAC ID: 3072530468
Enrollment ID: I20051027001007
Provider NameKrista Sue Johnk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588660872
PECOS PAC ID: 1951328038
Enrollment ID: I20051027001057
Provider NameBrent R Todd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316910961
PECOS PAC ID: 7618995788
Enrollment ID: I20051107001023
Provider NameDuane E Wade
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699883561
PECOS PAC ID: 8628073459
Enrollment ID: I20060928000424
Provider NameSara V Fritsch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790892859
PECOS PAC ID: 0143227595
Enrollment ID: I20061027000498
Provider NameJacob Coy Costello
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275737470
PECOS PAC ID: 1153421821
Enrollment ID: I20070710000761
Provider NameThomas K Flynn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588822761
PECOS PAC ID: 5395817415
Enrollment ID: I20080708000015
Provider NameRyann M Mcfee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871752618
PECOS PAC ID: 2466524020
Enrollment ID: I20080708000019
Provider NameSara a Pohl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598995292
PECOS PAC ID: 8820134067
Enrollment ID: I20091001000513
Provider NameGinger a Brauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225349632
PECOS PAC ID: 5698891190
Enrollment ID: I20100921001344
Provider NameAdam W Brockmeier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740598812
PECOS PAC ID: 4385839125
Enrollment ID: I20101105001306
Provider NameJanna K Roughead
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588959498
PECOS PAC ID: 3173793924
Enrollment ID: I20110902000541
Provider NameKristen L Wassung
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609216910
PECOS PAC ID: 6608010483
Enrollment ID: I20130927000124
Provider NameAndrew J Cannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942619176
PECOS PAC ID: 2365662277
Enrollment ID: I20140926002018
Provider NameNathan P Halm
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316171069
PECOS PAC ID: 9537205679
Enrollment ID: I20150512002482
Provider NameKarli M Rockford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023490083
PECOS PAC ID: 9335454396
Enrollment ID: I20150819009156
Provider NameMeggan E Breuer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588110712
PECOS PAC ID: 7810283348
Enrollment ID: I20160909001902
Provider NameBailee J Shupp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144774191
PECOS PAC ID: 2860780244
Enrollment ID: I20161018001979
Provider NameTanner R Timmerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710425210
PECOS PAC ID: 6901182641
Enrollment ID: I20170413000493
Provider NameRebecca a Buresh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598294423
PECOS PAC ID: 0143591578
Enrollment ID: I20170803001972
Provider NameTrevor C Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407348550
PECOS PAC ID: 4183970692
Enrollment ID: I20180712002407
Provider NameHeather L Urzendowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285118075
PECOS PAC ID: 3577814540
Enrollment ID: I20181002000427
Provider NameDru M Kobs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841853405
PECOS PAC ID: 7113269952
Enrollment ID: I20190429000223
Provider NameNicholas S Krueger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114578614
PECOS PAC ID: 1355673948
Enrollment ID: I20191031001679
Provider NameChelsea Silva
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093323867
PECOS PAC ID: 6406275767
Enrollment ID: I20201006001883
Provider NameKyle Larsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992137608
PECOS PAC ID: 0143507145
Enrollment ID: I20201015002389
Provider NameRachel Elizabeth Poledna
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952880957
PECOS PAC ID: 6507119146
Enrollment ID: I20210203001734
Provider NameRyan J Kleier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689243644
PECOS PAC ID: 1850793381
Enrollment ID: I20210707000847
Provider NameLauren Pfeifer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821662891
PECOS PAC ID: 6103228358
Enrollment ID: I20210709001561
Provider NameSean RM Callaghan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396319349
PECOS PAC ID: 1557764792
Enrollment ID: I20210726000943
Provider NameRebekah Remus
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437627437
PECOS PAC ID: 7911395561
Enrollment ID: I20211101000994
Provider NameSarah Hecox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134506710
PECOS PAC ID: 4688060528
Enrollment ID: I20220401001533
Provider NameCarrie a Rohr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073244604
PECOS PAC ID: 5890161335
Enrollment ID: I20221025000506
Provider NameAustin Mead
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063118990
PECOS PAC ID: 0244602449
Enrollment ID: I20230216002496
Provider NameAustin Ryan Alford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518563816
PECOS PAC ID: 2163895707
Enrollment ID: I20230302000993
Provider NameCorey a Friesen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598198871
PECOS PAC ID: 7517191448
Enrollment ID: I20230516003200
Provider NameNatalie Hayes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215612346
PECOS PAC ID: 1153789862
Enrollment ID: I20230627002752
Provider NameGarrett a Craig
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336909522
PECOS PAC ID: 9537604020
Enrollment ID: I20240709001464
Provider NameMelissa Tracci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891073359
PECOS PAC ID: 3779028691
Enrollment ID: I20240715003237
Provider NamePeter Stephen Schmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982445441
PECOS PAC ID: 2163969403
Enrollment ID: I20240803000376
Provider NameJoseph L Blecha
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538943477
PECOS PAC ID: 4981067899
Enrollment ID: I20240927000342
Provider NameMatthew-hao Viet Tran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831035799
PECOS PAC ID: 6204309172
Enrollment ID: I20260623000345

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.