Individual provider Active NPI

Hannah M Weiland, MPT

  • Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1336165489
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3303 Issued in NE
Practice address
1405 N 205TH St
Suite 140
Elkhorn, NE 68022-4740
Phone
(402) 289-5013
Fax
(402) 289-5018
NPI assigned
Jul 14, 2006
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3303 NE Primary
Physical Therapist 225100000X 2005026629 MO

Addresses

Primary practice location

1405 N 205TH St
Suite 140
Elkhorn, NE 68022-4740

Mailing address

1405 N 205TH St
Suite 140
Elkhorn, NE 68022-4740
Phone (402) 289-5013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000014 MO Practitioner - Physical Therapist in Private Practice 4789606286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8880 NE 82ND Ter
Saint Luke's Rehab
Kansas City, MO 64158-1313
Phone (816) 437-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005026629MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Clinic LLP Current Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Physical Therapist CurrentSince Jan 2, 2022 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Past Accepting new patients
BDM Associates LLC Physical Therapist Past Accepting new patients

Locations

8880 NE 82nd Ter
Kansas City, MO 64158
Phone (816) 437-8122

2703 Running Horse Rd
Platte City, MO 64079
Phone (816) 858-3250

9400 E State Route 350
Raytown, MO 64133
Phone (816) 251-5700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1336165489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N 205TH ST",
            "address_2": "SUITE 140",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224740",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N 205TH ST",
            "address_2": "SUITE 140",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224740",
            "telephone_number": "402-289-5013",
            "fax_number": "402-289-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "HANNAH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3303",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005026629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.