Individual provider Active NPI

Chad Wiebelhaus, SPT

  • Physical Therapist
  • S Sioux City, NE
National Provider Identifier
1255228219
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
601 W 29TH St
S Sioux City, NE 68776-3192
Phone
(712) 635-7796
NPI assigned
Jun 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 Primary

Addresses

Primary practice location

601 W 29TH St
S Sioux City, NE 68776-3192

Mailing address

2744 S Cedar St
Sioux City, IA 51106-4138

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819002146 NE Practitioner - Physical Therapist in Private Practice 2961901699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Physical Therapy LLCGroup PAC ID 0840659785, 2 clinicians

Practice addresses (Care Compare)

601 W 29TH St
South Sioux City, NE 68776-3192
Phone (712) 635-7796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Physical Therapy LLC Physical Therapist CurrentSince Jun 18, 2025 Accepting new patients

Locations

601 W 29th St
South Sioux City, NE 68776
Phone (712) 635-7796

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1255228219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 S CEDAR ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 29TH ST",
            "city": "S SIOUX CITY",
            "state": "NE",
            "postal_code": "687763192",
            "telephone_number": "712-635-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBELHAUS",
        "first_name": "CHAD",
        "credential": "SPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.