Mikya Jo Lierman

Individual provider Active NPI Physical Therapy Assistant · Wilber, NE

NPI 1104758366 · NPPES record last updated Jun 2, 2026

Key facts

NPI
1104758366
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2234 (NE)
Practice address
209 W 3Rd St
Wilber, NE 68465-3144
Phone
(402) 821-3320
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2234NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilber Physical Therapy LLC Past
since Dec 16, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2234 NE Yes

Addresses

Primary practice location

209 W 3Rd St
Wilber, NE 68465-3144

Mailing address

209 W 3Rd St
Wilber, NE 68465-3144
Phone (402) 821-3320

Other providers in Wilber, NE

All providers in Wilber, NE · Physical Therapy Assistant in Nebraska

Sources for this page

Verify at the official NPI Registry.