Individual provider Active NPI

Katie L Aylward, PTA

  • Physical Therapy Assistant
  • Lincoln, NE
National Provider Identifier
1215689161
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1885 Issued in NE
Practice address
755 Fallbrook Blvd Ste 200
Lincoln, NE 68521-9042
Phone
(402) 420-0020
Fax
(402) 420-0014
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1885 NE Primary

Addresses

Primary practice location

755 Fallbrook Blvd Ste 200
Lincoln, NE 68521-9042

Mailing address

6825 S 27TH St Ste 103
Lincoln, NE 68512-4872
Phone (402) 202-6671

Other identifiers 1

IdentifierTypeStateIssuer
1885OtherNEPTA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1885NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
J & Whit LLC CurrentSince Jan 26, 2022 Accepting new patients
Allergy, Asthma & Immunology Associates P.C. PastSince Jan 26, 2022 Accepting new patients

Locations

6825 S 27th St
Ste 103
Lincoln, NE 68512
Phone (402) 202-6671

755 Fallbrook Blvd
Ste 200
Lincoln, NE 68521
Phone (402) 240-0020

Organizations & group practices 2

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1215689161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S 27TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124872",
            "telephone_number": "402-202-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 FALLBROOK BLVD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219042",
            "telephone_number": "402-420-0020",
            "fax_number": "402-420-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYLWARD",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "1885",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.