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Prime Physical Therapy PC

NPI 1366016230ActiveOrganization· Physical Therapist· La Vista, NE

Physical Therapist in La Vista, Nebraska, registered in NPPES in May 2021. The authorized official on file is Nicole Stamm, PT, President.

Overview

NPI1366016230
StatusActive
Entity typeOrganization
NPI issuedMay 16, 2021
Last updated in NPPESMay 16, 2021
Certified by providerMay 16, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in La Vista

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