NPIMap

Organization Active NPI

Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1053512681
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LINCOLN PHYSICAL THERAPY AND SPORTS REHAB LLC
Practice address
6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858
Phone
(402) 483-4709
Fax
(402) 483-4079
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Mr. Chad Wehmhoff, PT
Title
Owner/ PT
Phone
(402) 421-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NE Primary

Addresses

Primary practice location

6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858

Mailing address

1501 Pine Lake Rd Ste 20
Lincoln, NE 68512-3692
Phone (402) 421-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151023001767 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133438641 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE
O20160408001968 NE DME Supplier - Independently-Practicing Physical Therapist 9133438641 Practice locations: Lincoln, NE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Physical Therapy and Sports Rehab LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1053512681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD STE 20",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-2700",
            "fax_number": "402-421-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-483-4709",
            "fax_number": "402-483-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PHYSICAL THERAPY AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "WEHMHOFF",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/ PT",
        "authorized_official_telephone_number": "402-421-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.