TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
NPI 1114180767
Chiropractor in South Sioux City, NE
NPI Status: Active since July 03, 2008
Contact Information
3900 DAKOTA AVE STE 6
SOUTH SIOUX CITY, NE
ZIP 68776
Phone: (402) 494-5173
Fax: (402) 494-5151
- Organization
- Chiropractor
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 28D0455674
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
This page provides the complete NPI Profile along with additional information for Tri-state Physicians & Physical Therapy Clinic Pc, a provider established in South Sioux City, Nebraska operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1114180767 assigned on July 2008. The practitioner's primary taxonomy code is 111N00000X with license number 753 (NE). The provider is registered as an organization and their NPI record was last updated 17 years ago. Tri-state Physicians & Physical Therapy Clinic Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Tri-state Chiropractic Clinic Inc. The authorized official of this NPI record is Dr. Tim E Luse D.c. (Medical Administrator)
- NPI
- 1114180767
- Provider Legal Name
- TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
- Other Organization Name
- TRI-STATE CHIROPRACTIC CLINIC INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776
- Location Phone
- (402) 494-5173
- Location Fax
- (402) 494-5151
- Mailing Address
- 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776
- Mailing Phone
- (402) 494-5173
- Mailing Fax
- (402) 494-5151
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2008
- Last Update Date
- 07-03-2008
- Code Navigator
A chiropractor like Tri-state Physicians & Physical Therapy Clinic Pc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Tri-state Physicians & Physical Therapy Clinic Pc is a medicare supplier with PTAN 20553827 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Heat & Cold Applications or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Wheelchairs (Standard Manual) or Wheelchair Seating/Cushions or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
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
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 753
- License State
- NE
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | 684 (NE) |
| 2 | 111N00000X | Chiropractic Providers | Chiropractor | 1289 (NE) |
| 3 | 174400000X | Other Service Providers | Specialist | 82 (NE) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Bronze 5000 Premier Select BlueChoice 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 HSA 6500 Premier Select BlueChoice - EPO
- HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20553827
- Accepts Medicare Assignment
- YES
- Provider Type List
- NURSE PRACTITIONER, PHYSICIAN – PHYSICAL AND REHABILITATION, PHYSICIAN – CHIROPRACTIC.
- Competitive Bidding
- NO
Supplies List
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
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
- 28D0455674
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- PAT LUSE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tri-state Physicians & Physical Therapy Clinic Pc 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 1 | 8 | 0 | 7 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 8 | 0 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 8 + 0 + 7 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1114180767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295150928 | REGINA RENE GROVER ARNP Individual | Nurse Practitioner (Family) | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-6033 |
| 1235503673 | KATHERINE COYLE Individual | Nurse Practitioner (Family) | 3900 DAKOTA AVE STE 6 S SIOUX CITY, NE 68776 (402) 494-5173 |
| 1386005775 | ADAM JAMES MATHERS DPT Individual | Physical Therapist | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-5173 |
| 1700038767 | NATHANIEL J SQUIER DPT Individual | Physical Therapist | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-5173 |
| 1497951479 | SUNNYBROOK CHIROPRACTIC CLINIC, INC. Organization | Chiropractor | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-5173 |
| 1083296917 | TARA FLYNN Individual | Massage Therapist | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-5173 |
| 1013598937 | WENDY MCNEAR Individual | Massage Therapist | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-5173 |
| 1780403519 | SETH THOMAS ROBERG DPT Individual | Physical Therapist | 3900 DAKOTA AVE STE 6 SOUTH SIOUX CITY, NE 68776 (402) 494-5173 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114180767, enumerated in the NPI registry as an "organization" on July 03, 2008
The provider is located at 3900 Dakota Ave Ste 6 South Sioux City, Ne 68776 and the phone number is (402) 494-5173
This medical organization specializes in Chiropractor with taxonomy code 111N00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 28D0455674 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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