Individual provider Active NPI

Cheryl Marie Wisinski, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1144355991
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
790 Issued in NE
Practice address
11640 Arbor St Ste 200
Omaha, NE 68144-5007
Phone
(402) 933-8383
Fax
(402) 933-8382
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 790 NE Primary

Addresses

Primary practice location

11640 Arbor St Ste 200
Omaha, NE 68144-5007

Mailing address

11640 Arbor St Ste 200
Omaha, NE 68144-5007
Phone (402) 933-8383

Other practice location 1

13911 Gold Cir Ste 110
Omaha, NE 68144-2376
Phone (402) 933-8383

Other practice location 2

13911 Gold Cir Ste 110
Omaha, NE 68144-2376
Phone (402) 933-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923001229 NE Practitioner - Physical Therapist in Private Practice 4981731106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physical Therapy Services PCGroup PAC ID 3476718990, 5 clinicians

Practice addresses (Care Compare)

11640 Arbor St
Suite 200
Omaha, NE 68144-5007
Phone (402) 933-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
790NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy Services, PC Physical Therapist CurrentSince Jun 1, 2012 Accepting new patients

Locations

11640 Arbor St
Ste 200
Omaha, NE 68144
Phone (402) 933-8383

13911 Gold Cir
Ste 110
Omaha, NE 68144
Phone (402) 333-8464

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144355991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-933-8383",
            "fax_number": "402-933-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-933-8383",
            "fax_number": "402-933-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13911 Gold Cir Ste 110",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681442376",
            "country_code": "US",
            "telephone_number": "402-933-8383",
            "fax_number": "402-933-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13911 Gold Cir Ste 110",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681442376",
            "country_code": "US",
            "telephone_number": "402-933-8383",
            "fax_number": "402-933-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISINSKI",
        "first_name": "CHERYL",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "790",
            "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 Mar 17, 2018; 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.