IndividualActive
Lance Destefano, PTA
NPI 1780827998 · Geriatric Physical Therapist · Syracuse, NE
Provider details
- NPI number
- 1780827998
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 827 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1622 Walnut St
Syracuse, NE 68446-7017
Phone: (402) 269-2251
Street-level locationGet directions
Mailing address
9785 Fowler Dr
Papillion, NE 68046-4548
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2009-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.