Provider Demographics
NPI:1730236118
Name:PHYSICAL THERAPY SOLUTIONS, PC
Entity type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:BJORKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:402-476-6575
Mailing Address - Street 1:2130 S 17TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3750
Mailing Address - Country:US
Mailing Address - Phone:402-476-6575
Mailing Address - Fax:402-476-6576
Practice Address - Street 1:2130 S 17TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3750
Practice Address - Country:US
Practice Address - Phone:402-476-6575
Practice Address - Fax:402-476-6576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025409200Medicaid
NEDE7140OtherPALMETTO GBA GROUP ID
NE099781Medicare ID - Type UnspecifiedMEDICARE GROUP ID