Active NPI
Betsy A Anderson, PT
- Physical Therapist
- Wahoo, NE
National Provider Identifier
1164405155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2066
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 59.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2066 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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. | Past | 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.
-
dba Makovicka Physical Therapy
- Physical Therapist
- Papillion, NE
- NPI 1093077000
-
- Orthopaedic Foot and Ankle Surgery Physician
- Lincoln, NE
- NPI 1962458323
-
- Physical Therapist
- Lincoln, NE
- NPI 1649219627
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.