Individual provider Active NPI

Ryan P Wade, MPT

  • Physical Therapist
  • Beatrice, NE
National Provider Identifier
1225022478
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2307 Issued in NE
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

Updated by the provider on Feb 3, 2012

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 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

IdentifierTypeStateIssuer
39907OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000394 NE Practitioner - Physical Therapist in Private Practice 5698735462 Reassigns benefits to 1 organization

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
Husker Rehabilitation and Wellness Centers, P.C.Group PAC ID 8426049248, 11 clinicians

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

LicenseStateTypeSpecialty
2307NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Husker Rehabilitation and Wellness Centers, P.C. Physical Therapist CurrentSince Sep 20, 2004 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.

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.

Verify at the official NPI Registry.