Chad Loran Kudlacek, OTR L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

946 Issued in NE

Practice address

207 S Burlington Ave
Hastings, NE 68901-5905

Phone

(402) 462-8824

Fax

(402) 462-8017

NPI assigned

Aug 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Sports Rehab of Hastings IncGroup PAC ID 5890760086, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Physical Therapy & Sports Rehab of Hastings Inc

  • Physical Therapist
  • Hastings, NE
  • NPI 1730285180

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1164439105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S BURLINGTON AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015905",
            "telephone_number": "402-462-8824",
            "fax_number": "402-462-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S BURLINGTON AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015905",
            "telephone_number": "402-462-8824",
            "fax_number": "402-462-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDLACEK",
        "first_name": "CHAD",
        "middle_name": "LORAN",
        "name_prefix": "Mr.",
        "credential": "OTR L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36544",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Renae Krull, DPT
• Christopher Kevin Kubat, MD
• Margaret Kucera, PHARM. D.
• Mattee Kucera, PLADC
• Megan M Kucera
• Jody Kuhr
• Peggy Kulek
• Laura La Rosa, PTA, ATC
• Courtney K Labenz, PT DPT
• Morgan Lacompte, PA-C

• Occupational Therapist in Hastings, NE
• Providers in Hastings, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.