Provider Demographics
NPI:1699436790
Name:NEBRASKA PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:NEBRASKA PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHABILITATION
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREGUIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PTA
Authorized Official - Phone:402-260-5353
Mailing Address - Street 1:7821 WAKELEY PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3651
Mailing Address - Country:US
Mailing Address - Phone:712-578-3050
Mailing Address - Fax:402-296-8551
Practice Address - Street 1:7821 WAKELEY PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3651
Practice Address - Country:US
Practice Address - Phone:712-578-3050
Practice Address - Fax:402-296-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty