Kayla Marie Mammen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0014429 Issued in NE

Practice address

1276 Sand Hill Rd
#2
Louisville, NE 68037

Phone

(402) 234-3333

NPI assigned

Nov 15, 2016

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Witte Physical TherapyGroup PAC ID 2365758588, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Witte Physical Therapy

  • Physical Therapy Clinic/Center
  • Louisville, NE
  • NPI 1902298730

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Aspen Medical Staffing

  • Skilled Nursing Facility
  • Saint Cloud, MN
  • NPI 1033641352
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1285176636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 SCARBOROUGH DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232082",
            "telephone_number": "402-821-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 SAND HILL RD",
            "address_2": "#2",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "68037",
            "telephone_number": "402-234-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1894 37th St SE",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563049508",
            "country_code": "US",
            "telephone_number": "320-227-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014429",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "0014429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285176636",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisville Care Center Assisted Living
• Louisville Drug Inc (Blakes Pharmacy)
• Louisville Drug Inc (Blake's Pharmacy)
• Louisville Public Schools
• Isabella Maggio
• Gloria Milbourn, P.A.
• April A Nevins
• Newstyle Medical Supplier LLC
• Nye Louisville, LLC (Nye Summit)
• Julie D Nye, MA CCC SLP

• Physical Therapist in Louisville, NE
• Providers in Louisville, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.