SUPERIOR PHYSICAL THERAPY LLC
NPI 1275905689
Clinic/Center - Physical Therapy in Superior, NE

NPI Status: Active since October 25, 2015

Contact Information

308 N CENTRAL AVE
SUPERIOR, NE
ZIP 68978
Phone: (402) 879-0109
Fax: (866) 764-0606

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance
  • CLIA Number: 28D0992693
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 10-22-2027

About SUPERIOR PHYSICAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Superior Physical Therapy Llc, a provider established in Superior, Nebraska operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1275905689 assigned on October 2015. The practitioner's primary taxonomy code is 261QP2000X with license number 1484 (NE). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Bradley J Gardner Mpt (Sole Member)

NPI
1275905689
Provider Name
SUPERIOR PHYSICAL THERAPY LLC
Entity Type
Organization
Location Address
308 N CENTRAL AVE SUPERIOR, NE 68978
Location Phone
(402) 879-0109
Location Fax
(866) 764-0606
Mailing Address
PO BOX 263 SUPERIOR, NE 68978
Mailing Phone
(402) 879-1267
Mailing Fax
(866) 764-0606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2015
Last Update Date
01-07-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
1484
License State
NE
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold 1000 Blueprint Health w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Gold Standard 2000 Blueprint Health - EPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 PCP Visit 4500 Blueprint Health - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Medica with CHI Health Bronze Premier - EPO
  • Medica with CHI Health Bronze Premier + Adult Eye Exam - EPO
  • Medica with CHI Health Bronze Share - EPO
  • Medica with CHI Health Bronze Share + Adult Eye Exam - EPO
  • Medica with CHI Health Expanded Bronze Standard - EPO
  • Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam - EPO
  • Medica with CHI Health Gold $0 Copay PCP Visits - EPO
  • Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | with Bryan Health - EPO
  • Gold Elite - EPO
  • Gold Elite | with Bryan Health - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | with Bryan Health - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | with Bryan Health - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRADLEY J GARDNER MPT

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(402) 879-0109

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D0992693
Facility Type
Ambulance
Certificate Effective Date
October 23, 2025
Certificate Expiration Date
October 22, 2027
Laboratory Director
TIMOTHY D. BLECHA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Superior Physical Therapy Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SUPERIOR PHYSICAL THERAPY LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275905689, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 8 + 0 + 1 + 0 + 6 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1275905689.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
308 N CENTRAL AVE
SUPERIOR, NE 68978

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275905689, enumerated as an "organization" on October 25, 2015.

The provider is located at 308 N CENTRAL AVE SUPERIOR, NE 68978 and the phone number is (402) 879-0109.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica and. Please consult your insurance carrier or call the provider to verify.