TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
NPI 1114180767
Chiropractor in South Sioux City, NE
About Tri-state Physicians & Physical Therapy Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC (NPI 1114180767), doing business as Tri-state Chiropractic Clinic Inc, is a healthcare organization registered as a chiropractor in South Sioux City, Nebraska and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Tim E Luse, Medical Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri-state Physicians & Physical Therapy Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Tri-State Physicians & Physical Therapy Clinic PC, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 28D0455674
Tri-State Physicians & Physical Therapy Clinic PC · South Sioux City, NEMedical Equipment Supplier Medicare DMEPOS 9
Medicare supplier enrollment and the product categories Tri-State Physicians & Physical The carries, from the Medicare DMEPOS supplier directory.
Tri-State Physicians & Physical The
DMEPOS supplier · South Sioux City, NEOperated by Tri-State Physicians & Physical Therapy Clinic PCAccepts Medicare assignment
Tri-State Physicians & Physical The agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tri-State Physicians & Physical Therapy Clinic PC's NPI number?
The NPI number for Tri-State Physicians & Physical Therapy Clinic PC is 1114180767. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider was formerly known as Tri-State Chiropractic Clinic Inc.
Where is Tri-State Physicians & Physical Therapy Clinic PC located?
Tri-State Physicians & Physical Therapy Clinic PC is located at 3900 Dakota Ave Ste 6, South Sioux City, NE 68776. The listed phone number is (402) 494-5173.
What is Tri-State Physicians & Physical Therapy Clinic PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tri-State Physicians & Physical Therapy Clinic PC enrolled in Medicare?
Yes. Tri-State Physicians & Physical Therapy Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-State Physicians & Physical Therapy Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Tri-State Physicians & Physical Therapy Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (5), Nurse Practitioner (3) and Physical Therapist in Private Practice (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri-State Physicians & Physical Therapy Clinic PC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Tri-State Physicians & Physical The accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Tri-State Physicians & Physical Therapy Clinic PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D0455674) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tri-State Physicians & Physical Therapy Clinic PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Tri-State Physicians & Physical Therapy Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tri-State Physicians & Physical Therapy Clinic PC was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tri-State Physicians & Physical Therapy Clinic Pc · NPI 1114180767
Chiropractor organization in South Sioux City, Nebraska. Organization record, active in the CMS NPPES registry since July 3, 2008.
## Identity
- **NPI:** 1114180767 (Entity type: Organization)
- **Enumerated:** July 3, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Tim Luse, MEDICAL ADMINISTRATOR
## Practice location
- **Address:** 3900 DAKOTA AVE STE 6, South Sioux City, NE 68776-3696
- **Phone:** (402) 494-5173 · **Fax:** (402) 494-5151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (5), Nurse Practitioner (3), Physical Therapist in Private Practice (1); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114180767) · Data from the CMS NPPES public registry.