Wyatt James Kipp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4332 Issued in NE

Practice address

1268 E Henry St Ste 1
Louisville, NE 68037-7025

Phone

(402) 234-3333

Fax

(844) 272-6479

NPI assigned

Jun 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Creighton University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Witte Physical TherapyGroup PAC ID 2365758588, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Witte Physical Therapy

  • Physical Therapy Clinic/Center
  • Louisville, NE
  • NPI 1902298730

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Innovate Rehab and Wellness LLC

  dba Hillcrest Rehab Services

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1588179923

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1144951864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E HENRY ST STE 1",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "680377025",
            "telephone_number": "402-234-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E HENRY ST STE 1",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "680377025",
            "telephone_number": "402-234-3333",
            "fax_number": "844-272-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPP",
        "first_name": "WYATT",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Nicole Heard
• Brianna F Jarosz, RN
• Paige Jone
• Debra Kelly, SLP
• Abby Kenner, RN
• Kubat Pharmacy Louisville, LLC (Blakes Pharmacy - Long Term Care)
• Kubat Pharmacy Louisville, LLC (Blakes Pharmacy, a Kubat HealthCare Partner)
• Patrick Lebeau
• Louisville Care Center
• Louisville Care Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.