Active NPI
Ryan P Wade, MPT
- Physical Therapist
- Beatrice, NE
National Provider Identifier
1225022478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2307
- Practice address
- 2320 N 6TH St
Beatrice, NE 68310-1214 - Phone
- (402) 228-9292
- Fax
- (402) 228-9191
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- 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 | 2307 | NE | Primary |
Addresses
Primary practice location
2320 N 6TH St
Beatrice, NE 68310-1214
Mailing address
2320 N 6TH St
Beatrice, NE 68310-1214
Phone (402) 228-9292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39907 | Other | NE | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 E St
Fairbury, NE 68352-2360
Phone (402) 729-2639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2307 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Husker Rehabilitation and Wellness Centers, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
2320 N 6th St
Beatrice, NE 68310
Phone (402) 228-9292
504 E St
Fairbury, NE 68352
Phone (402) 729-2639
4911 N 26th St
Ste 100
Lincoln, NE 68521
Phone (402) 477-3110
Organizations & group practices 1
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 Therapist
- Lincoln, NE
- NPI 1427042688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1225022478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 N 6TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683101214",
"telephone_number": "402-228-9292",
"fax_number": "402-228-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 N 6TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683101214",
"telephone_number": "402-228-9292",
"fax_number": "402-228-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "RYAN",
"middle_name": "P",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "39907",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.