Active NPI
Kohout Physical Therapy, LLC
- Orthopedic Physical Therapist
- York, NE
National Provider Identifier
1164013116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- KOHOUT PHYSICAL THERAPY, LLC
- Practice address
- 115 E. 4TH Street
York, NE 68467 - Phone
- (402) 745-6399
- Fax
- (402) 745-6388
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcus Eugene Kohout, PT, DPT, OCS, SCS
- Title
- Ceo
- Phone
- (402) 469-3634
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
115 E. 4TH Street
York, NE 68467
Mailing address
811 S Country Club Dr
York, NE 68467-4009
Phone (402) 469-3634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025822500 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 E 4th St
York, NE 68467
Phone (402) 745-6399
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612224000000",
"number": "1164013116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 S COUNTRY CLUB DR",
"city": "YORK",
"state": "NE",
"postal_code": "684674009",
"telephone_number": "402-469-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E. 4TH STREET",
"city": "YORK",
"state": "NE",
"postal_code": "68467",
"telephone_number": "402-745-6399",
"fax_number": "402-745-6388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOHOUT PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-01-15",
"status": "A",
"authorized_official_last_name": "KOHOUT",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-469-3634",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, OCS, SCS"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025822500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.