Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Physical Therapy PC

Organization Physical Therapist · NPI 1366016230

Prime Physical Therapy PC is a Physical Therapist in LA Vista, Nebraska. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10456 Chandler Cir Ste 103
LA Vista, NE 68128-3257
Phone: (402) 212-8971
Fax: (401) 201-2380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1366016230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Stamm — President · (402) 212-8971
NPI enumeratedMay 16, 2021
Last updated in NPPESMay 16, 2021
Certification dateMay 16, 2021
Mailing address10456 Chandler Cir Ste 103, La Vista, NE 68128-3257

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