McKenna Luetkenhaus, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3910 Issued in NE

Practice address

4235 N 90TH St
Omaha, NE 68134-4136

Phone

(402) 934-0045

Fax

(402) 934-6562

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• McKenna Setlik Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Pelvic PhysioGroup PAC ID 1658803895, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

32.9 of 100Reported as group

Quality

0

Improvement activities

40

Cost

59.68

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Pelvic Physio

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1649851072

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Makovicka Harms Group, PC

  • Physical Therapist
  • Papillion, NE
  • NPI 1093077000
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1114481850",
    "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": "402-934-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344136",
            "telephone_number": "402-934-0045",
            "fax_number": "402-934-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETKENHAUS",
        "first_name": "MCKENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5409",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENNA",
            "last_name": "SETLIK",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Michael Luera, MD
• Mallory Luers Morris, MS, CCC-SLP
• Denae E Luetchens, APRN-NP
• Kassie A Lueth
• Jennifer Luethje
• Mandy J Luettel, PLMHP
• Meredith Ann Lugert Kalina, M.S. CCC-SLP
• Andres Lugo-Huerta
• Jessica Lugo, LPN
• Leeanna Manshan Lui, MD

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.