Active NPI
Micah Kohlwey, DPT
- Physical Therapist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4528
- Practice address
- 5401 South St
Lincoln, NE 68506-2150 - Phone
- (402) 413-3900
- NPI assigned
- May 23, 2023
- Last updated
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 101422 | IA | |
| Physical Therapist | 225100000X | 4528 | NE | Primary |
Addresses
Primary practice location
5401 South St
Lincoln, NE 68506-2150
Mailing address
1901 W Big Sky Rd
Lincoln, NE 68521-1317
Phone (402) 641-1451
Other practice location 1
1622 Walnut St
Syracuse, NE 68446-7017
Phone (402) 641-1451
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
- Des Moines University of Osteopathic Medicine and Health Sciences, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7030 NW 14TH St
Lincoln, NE 68521-4583
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4528 | NE | MD | Professional Counselor |
| 101422 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Physiotherapy LLC | Physical Therapist | Current | Accepting new patients |
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Pando Geriatric Counseling, PC | Past | Accepting new patients |
Locations
5601 S 84th St
Lincoln, NE 68516
Phone (402) 480-0250
6991 S 178th Plz
Omaha, NE 68136
Phone (402) 819-0669
4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860
Organizations & group practices 3
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.
-
- Physical Therapist
- Lincoln, NE
- NPI 1639065154
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
NE, Physical Therapist
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1700171741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1306538863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W BIG SKY RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211317",
"telephone_number": "402-641-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3900"
}
],
"practiceLocations": [
{
"address_1": "1622 Walnut St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NE",
"postal_code": "684467017",
"country_code": "US",
"telephone_number": "402-641-1451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLWEY",
"first_name": "MICAH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "101422",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4528",
"primary": true
}
],
"identifiers": [],
"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 Oct 12, 2023; 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.