| Resilient Rehab Llc | |
|
216 N Green St Clarks NE 68628-2759 | |
| (402) 469-9107 | |
| Not Available |
| Full Name | Resilient Rehab Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 216 N Green St, Clarks, Nebraska |
| Authorized Official Name and Position | Erin Meyer (BUSIESS MANAGER) |
| Authorized Official Contact | 3083809393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Rehab Llc Po Box 236 Clarks NE 68628-0236 Ph: (402) 469-9107 | Resilient Rehab Llc 216 N Green St Clarks NE 68628-2759 Ph: (402) 469-9107 |
| NPI Number | 1861247645 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 10/07/2024 |
| Medicare PECOS PAC ID | 2264967207 |
|---|---|
| Medicare Enrollment ID | O20241127001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861247645 | NPI | - | NPPES |
| 10029027701 | Medicaid | NE | |
| 10029027700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Katelynn Rerucha |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831741537 PECOS PAC ID: 9537495601 Enrollment ID: I20190726001315 |
| Provider Name | Emilee Kuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942764238 PECOS PAC ID: 2769914506 Enrollment ID: I20241017001370 |
| Provider Name | Rachel Buettner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306679386 PECOS PAC ID: 5799215109 Enrollment ID: I20250213002304 |
True North Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 N Green St, Clarks, NE 68628 Phone: 402-366-0872 |