DR. ELIZABETH LEE FUGITT (PT, DPT) – Physical Therapist, NPI 1639929649

DR. ELIZABETH LEE FUGITT (PT, DPT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 4590 (NE). The NPI Number for DR. ELIZABETH LEE FUGITT (PT, DPT) is 1639929649

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH LEE FUGITT (PT, DPT)
NPI
1639929649
Phone
(402) 280-3555
Address
17055 FRANCES ST
Enumeration Date
25 March 2024
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4022803555
Graduation Year
2023 (3 years ago)
PAC ID
9436695608
Group Practice PAC ID
4284527508
Professional Enrollment ID
I20240724000756
Address ID
NE681304655OM17055STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for DR. ELIZABETH LEE FUGITT (PT, DPT)

  • 17055 FRANCES ST

    SUITE 100

    OMAHA, NE 681304655

    Phone: (402) 280-3555

    Fax: (402) 280-3557

    Type: Mailing

  • CREIGHTON THERAPY & WELLNESS

    17055 FRANCES ST, STE 100

    OMAHA, NE 681304655

    Phone: (402) 280-3555

    Fax: (402) 280-3557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240724000756IPhysical Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284527508View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What number should I use to identify DR. ELIZABETH LEE FUGITT (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1639929649 for DR. ELIZABETH LEE FUGITT (PT, DPT).
Quick check: is DR. ELIZABETH LEE FUGITT (PT, DPT) active?
Public NPPES data shows DR. ELIZABETH LEE FUGITT (PT, DPT) with an active NPI status right now.
What type of care does DR. ELIZABETH LEE FUGITT (PT, DPT) provide?
DR. ELIZABETH LEE FUGITT (PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ELIZABETH LEE FUGITT (PT, DPT)?
DR. ELIZABETH LEE FUGITT (PT, DPT) is associated with Omaha, Nebraska in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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