Individual provider Active NPI

Rachel Wisniewski

  • Physical Therapist
  • Bellevue, NE
National Provider Identifier
1013520600
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4381 Issued in NE
Practice address
555 Cornhusker Rd
Bellevue, NE 68005-7909
Phone
(402) 614-4300
Fax
(402) 614-5211
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4381 NE Primary
Physical Therapist 225100000X 5501019696 MI

Addresses

Primary practice location

555 Cornhusker Rd
Bellevue, NE 68005-7909

Mailing address

PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791

Other practice location 1

4235 N 90th St
Omaha, NE 68134-4136
Phone (402) 934-0045

Other practice location 2

6307 Center St
Omaha, NE 68106-3458
Phone (402) 884-7453

Other practice location 3

11476 S 72nd St Ste 102
Papillion, NE 68046-4921
Phone (402) 964-2045

Other practice location 4

333 S 70th St Ste 102
Lincoln, NE 68510-2587
Phone (531) 500-4160

Other practice location 5

7030 Helen Witt Dr Ste A
Lincoln, NE 68512-3756
Phone (402) 420-4545

Other practice location 6

2436 N 48th St Ste 101
Lincoln, NE 68504-3627
Phone (402) 325-6341

Other practice location 7

559 W 15th St
Wahoo, NE 68066-1280
Phone (402) 443-4555

Other practice location 8

109 Vine St Ste 5
Yutan, NE 68073-3116
Phone (402) 625-2030

Other practice location 9

208 N Spruce St
Valley, NE 68064-3418
Phone (402) 934-3345

Other practice location 10

13851 Guildford St
Waverly, NE 68462-1453
Phone (402) 786-0476

Other practice location 11

16385 Westside Dr Ste 1
Plattsmouth, NE 68048-6104
Phone (402) 870-4521

Other practice location 12

3830 N 167th Ct
Omaha, NE 68116-8064
Phone (402) 502-2290

Other practice location 13

11901 Pacific St
Omaha, NE 68154-3421
Phone (402) 401-6151

Other practice location 14

20024 Glenmore Dr Ste 1
Gretna, NE 68028-4651
Phone (402) 332-3773

Other practice location 15

6909 S 157th St Ste E
Omaha, NE 68136-3052
Phone (402) 933-5448

Other practice location 16

1021 S 178th St Ste 101
Omaha, NE 68118-3574
Phone (402) 933-3036

Other practice location 17

8419 S 73rd Plz Ste 104
Papillion, NE 68046-1507
Phone (402) 991-2745

Other practice location 18

3201 Farnam St Ste 6110
Omaha, NE 68131-3405
Phone (402) 932-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4381NEMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Sylliaasen PC Physical Therapist PastSince Jan 6, 2010 Accepting new patients
Pacific Springs Physical Therapy, PC Physical Therapist Past Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1013520600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34669",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340669",
            "telephone_number": "402-932-6791",
            "fax_number": "402-614-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CORNHUSKER RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057909",
            "telephone_number": "402-614-4300",
            "fax_number": "402-614-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 N 90th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681344136",
            "country_code": "US",
            "telephone_number": "402-934-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6307 Center St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681063458",
            "country_code": "US",
            "telephone_number": "402-884-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11476 S 72nd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680464921",
            "country_code": "US",
            "telephone_number": "402-964-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S 70th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102587",
            "country_code": "US",
            "telephone_number": "531-500-4160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7030 Helen Witt Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685123756",
            "country_code": "US",
            "telephone_number": "402-420-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2436 N 48th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685043627",
            "country_code": "US",
            "telephone_number": "402-325-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Wahoo",
            "state": "NE",
            "postal_code": "680661280",
            "country_code": "US",
            "telephone_number": "402-443-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Vine St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Yutan",
            "state": "NE",
            "postal_code": "680733116",
            "country_code": "US",
            "telephone_number": "402-625-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 N Spruce St",
            "address_purpose": "LOCATION",
            "city": "Valley",
            "state": "NE",
            "postal_code": "680643418",
            "country_code": "US",
            "telephone_number": "402-934-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13851 Guildford St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "NE",
            "postal_code": "684621453",
            "country_code": "US",
            "telephone_number": "402-786-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16385 Westside Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Plattsmouth",
            "state": "NE",
            "postal_code": "680486104",
            "country_code": "US",
            "telephone_number": "402-870-4521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3830 N 167th Ct",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681168064",
            "country_code": "US",
            "telephone_number": "402-502-2290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 Pacific St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681543421",
            "country_code": "US",
            "telephone_number": "402-401-6151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20024 Glenmore Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "NE",
            "postal_code": "680284651",
            "country_code": "US",
            "telephone_number": "402-332-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6909 S 157th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681363052",
            "country_code": "US",
            "telephone_number": "402-933-5448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 S 178th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681183574",
            "country_code": "US",
            "telephone_number": "402-933-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8419 S 73rd Plz Ste 104",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680461507",
            "country_code": "US",
            "telephone_number": "402-991-2745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Farnam St Ste 6110",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681313405",
            "country_code": "US",
            "telephone_number": "402-932-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4381",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.