Individual provider Active NPI

Anya Kerkman, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1033227046
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2257 Issued in NE
Practice address
2510 S 40TH St Ste 200
Lincoln, NE 68506-2411
Phone
(402) 486-3333
Fax
(402) 486-3349
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2257 NE Primary

Addresses

Primary practice location

2510 S 40TH St Ste 200
Lincoln, NE 68506-2411

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853

Other identifiers 1

IdentifierTypeStateIssuer
02178OtherNEBCBS

Other names 1

  • Anya Carlisle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060929000120 NE Practitioner - Physical Therapist in Private Practice 1658376421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

4001 O St
Lincoln, NE 68510-1755
Phone (402) 817-0834

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
71.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2257NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
The Physician Network CurrentSince Oct 5, 2015 Accepting new patients

Locations

2683 Solution Ctr
Chicago, IL 60677

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

2000 Q St
Ste 500
Lincoln, NE 68503
Phone (402) 421-0896

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

7121 Stephanie Ln
Ste 105
Lincoln, NE 68516
Phone (402) 484-8383

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

4055 Yankee Hill Rd
Lincoln, NE 68516
Phone (402) 328-6300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1033227046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853",
            "fax_number": "308-210-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 40TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062411",
            "telephone_number": "402-486-3333",
            "fax_number": "402-486-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKMAN",
        "first_name": "ANYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02178",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "CARLISLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.