Individual provider Active NPI

Betsy A Anderson, PT

  • Physical Therapist
  • Wahoo, NE
National Provider Identifier
1164405155
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2066 Issued in NE
Practice address
559 W 15TH St
Wahoo, NE 68066-1280
Phone
(402) 420-4545
Fax
(402) 420-0402
NPI assigned
Nov 22, 2005
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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 2066 NE Primary

Addresses

Primary practice location

559 W 15TH St
Wahoo, NE 68066-1280

Mailing address

7030 Helen Witt Dr Suite a
Lincoln, NE 68512-3612
Phone (402) 420-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000238 NE Practitioner - Physical Therapist in Private Practice 7911045208

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 34669
Omaha, NE 68134

PO Box
Suite 34669
Omaha, NE 68134-0669

Merit-based Incentive Payment System (MIPS)

Final score
32.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
59.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2066NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients
Physical Therapy Center PC Physical Therapist Past Accepting new patients
Nebraska Foot & Ankle, P.C. PastSince Jan 6, 2010 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1164405155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 HELEN WITT DR SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123612",
            "telephone_number": "402-420-4545",
            "fax_number": "402-423-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W 15TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661280",
            "telephone_number": "402-420-4545",
            "fax_number": "402-420-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BETSY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.