Active NPI
Heather Wulff, D.P.T
- Physical Therapist
- Omaha, NE
National Provider Identifier
1023398039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4426
- Practice address
- 11623 Arbor St
Omaha, NE 68144-2981 - Phone
- (866) 334-1919
- Fax
- (402) 334-6084
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1209781 | TX | |
| Physical Therapist | 225100000X | 4426 | OK | Primary |
Addresses
Primary practice location
11623 Arbor St
Omaha, NE 68144-2981
Mailing address
18776 W 880 Rd
Park Hill, OK 74451-2037
Phone (918) 931-9586
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209781 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1023398039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18776 W 880 RD",
"city": "PARK HILL",
"state": "OK",
"postal_code": "744512037",
"telephone_number": "918-931-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11623 ARBOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442981",
"telephone_number": "866-334-1919",
"fax_number": "402-334-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULFF",
"first_name": "HEATHER",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1209781",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.